Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $501.19 / $575.44	Facility		$288.40	$501.19	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $467.74	Professional		$194.98	$251.19	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $1,047.13	Facility		$295.12	$295.12	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $524.81	Professional		$117.49	$194.98	$524.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $426.58 / $776.25	Facility		$407.38	$426.58	$776.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $501.19	Professional		$208.93	$295.12	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $575.44 / $1,202.26	Facility		$208.93	$575.44	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $158.49 / $398.11	Professional		$128.82	$158.49	$398.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $1,412.54	Facility		$257.04	$371.54	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $1,479.11	Professional		$123.03	$177.83	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $295.12 / $354.81	Facility		$123.03	$295.12	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $323.59	Professional		$123.03	$177.83	$323.59