Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $338.84 / $398.11	Facility		$194.98	$338.84	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $173.78 / $323.59	Professional		$134.90	$173.78	$323.59
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 / $229.09 / $575.44	Professional		$81.28	$229.09	$575.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $316.23 / $575.44	Facility		$309.03	$316.23	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $380.19	Professional		$141.25	$204.17	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $389.05 / $912.01	Facility		$154.88	$389.05	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $194.98 / $323.59	Professional		$93.33	$194.98	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $257.04 / $977.24	Facility		$177.83	$257.04	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $1,023.29	Professional		$85.11	$131.83	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $204.17 / $245.47	Facility		$93.33	$204.17	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $223.87	Professional		$85.11	$123.03	$223.87