Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $223.87 / $295.12	Facility		$144.54	$223.87	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $281.84	Professional		$89.13	$147.91	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $588.84	Facility		$169.82	$169.82	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $281.84	Professional		$67.61	$89.13	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $169.82	Professional		$120.23	$128.82	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $331.13 / $524.81	Facility		$89.13	$331.13	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $162.18 / $245.47	Professional		$72.44	$162.18	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $812.83	Facility		$147.91	$204.17	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $851.14	Professional		$70.79	$102.33	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $169.82 / $204.17	Facility		$61.66	$169.82	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $186.21	Professional		$70.79	$87.10	$186.21