Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.67 / $442.96 / $764.46	Facility		$286.67	$442.96	$764.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.43 / $286.67 / $378.94	Professional		$250.43	$286.67	$378.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $345.99 / $1,521.02	Facility		$329.51	$345.99	$1,521.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $333.93 / $668.48	Professional		$131.80	$333.93	$668.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.20 / $643.09 / $785.40	Facility		$465.20	$643.09	$785.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $206.04 / $440.40	Professional		$145.00	$206.04	$440.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $395.41 / $1,565.17	Facility		$280.08	$395.41	$1,565.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $1,640.96	Professional		$138.38	$197.71	$1,640.96
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $197.71 / $395.41	Professional		$138.38	$197.71	$395.41