Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $162.18 / $186.21	Facility		$93.33	$162.18	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $162.18	Professional		$67.61	$83.18	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $338.84	Facility		$97.72	$97.72	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $64.57 / $173.78	Professional		$25.12	$64.57	$173.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $251.19	Facility		$134.90	$144.54	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $109.65	Professional		$67.61	$97.72	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $186.21 / $309.03	Facility		$77.62	$186.21	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $93.33 / $141.25	Professional		$45.71	$93.33	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $457.09	Facility		$85.11	$117.49	$457.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $489.78	Professional		$40.74	$58.88	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $97.72 / $117.49	Facility		$40.74	$97.72	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $107.15	Professional		$40.74	$58.88	$107.15