Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $201.65 / $348.00	Facility		$127.50	$201.65	$348.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $130.50 / $172.50	Professional		$114.00	$130.50	$172.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $157.50 / $692.40	Facility		$150.00	$157.50	$692.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $122.89 / $267.52	Professional		$30.52	$122.89	$267.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.52 / $314.63 / $684.19	Facility		$172.52	$314.63	$684.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $142.91 / $194.07	Professional		$68.30	$142.91	$194.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.50 / $187.50 / $712.50	Facility		$130.50	$187.50	$712.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $750.00	Professional		$63.00	$90.00	$750.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.00 / $169.65	Professional		$63.00	$90.00	$169.65