Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.94 / $146.69 / $253.18	Facility		$94.94	$146.69	$253.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $94.94 / $125.50	Professional		$82.94	$94.94	$125.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $114.59 / $503.74	Facility		$109.13	$114.59	$503.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $97.50 / $276.41	Professional		$53.89	$97.50	$276.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.29 / $228.89 / $608.44	Facility		$103.29	$228.89	$608.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.66 / $94.76 / $190.00	Professional		$49.66	$94.76	$190.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $92.76 / $136.41 / $518.37	Facility		$92.76	$136.41	$518.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $89.33 / $545.65	Professional		$45.83	$89.33	$545.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $65.48 / $141.43	Professional		$45.83	$65.48	$141.43