Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $416.87	Facility		$147.91	$208.93	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $457.09	Professional		$91.20	$107.15	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $436.52	Facility		$123.03	$123.03	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $112.20 / $295.12	Professional		$25.12	$112.20	$295.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $190.55	Professional		$87.10	$123.03	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $239.88 / $691.83	Facility		$117.49	$239.88	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $234.42	Professional		$58.88	$117.49	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $154.88 / $588.84	Facility		$107.15	$154.88	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $102.33 / $616.60	Professional		$52.48	$102.33	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $123.03 / $151.36	Facility		$70.79	$123.03	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $151.36	Professional		$52.48	$74.13	$151.36