Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $389.05	Facility		$177.83	$316.23	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $338.84	Professional		$131.83	$173.78	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $707.95	Facility		$204.17	$204.17	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $363.08	Professional		$81.28	$125.89	$363.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $223.87	Professional		$141.25	$204.17	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $380.19 / $489.78	Facility		$208.93	$380.19	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $269.15	Professional		$87.10	$107.15	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $954.99	Facility		$177.83	$251.19	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $1,023.29	Professional		$85.11	$120.23	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $204.17 / $245.47	Facility		$85.11	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $223.87	Professional		$85.11	$120.23	$223.87