Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $258.54 / $446.18	Facility		$163.47	$258.54	$446.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.16 / $167.32 / $221.17	Professional		$146.16	$167.32	$221.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.32 / $201.94 / $887.75	Facility		$192.32	$201.94	$887.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.93 / $171.16 / $330.51	Professional		$76.93	$171.16	$330.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.80 / $403.41 / $653.65	Facility		$111.80	$403.41	$653.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $183.24 / $276.52	Professional		$87.54	$183.24	$276.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.32 / $230.78 / $913.52	Facility		$167.32	$230.78	$913.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $115.39 / $961.60	Professional		$80.77	$115.39	$961.60
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $115.39 / $217.51	Professional		$80.77	$115.39	$217.51