Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $346.74 / $398.11	Facility		$199.53	$346.74	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $346.74	Professional		$134.90	$177.83	$346.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $724.44	Facility		$208.93	$208.93	$724.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $138.04 / $371.54	Professional		$83.18	$138.04	$371.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $302.00 / $537.03	Facility		$288.40	$302.00	$537.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $208.93 / $354.81	Professional		$144.54	$208.93	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $489.78	Facility		$288.40	$407.38	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $288.40	Professional		$91.20	$109.65	$288.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $251.19 / $977.24	Facility		$177.83	$251.19	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $1,023.29	Professional		$87.10	$123.03	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $208.93 / $251.19	Facility		$87.10	$208.93	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $234.42	Professional		$87.10	$123.03	$234.42