Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.17 / $824.71 / $1,564.74	Facility		$497.17	$824.71	$1,564.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $508.86 / $845.65	Professional		$497.17	$508.86	$845.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,303.95 / $1,369.15 / $6,019.03	Facility		$1,303.95	$1,369.15	$6,019.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $717.08 / $1,547.25	Professional		$288.83	$717.08	$1,547.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.02 / $2,297.78 / $3,262.47	Facility		$558.02	$2,297.78	$3,262.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.26 / $619.49 / $1,513.35	Professional		$279.26	$619.49	$1,513.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $519.04 / $1,173.56 / $6,102.49	Facility		$519.04	$1,173.56	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $467.92 / $1,564.74	Professional		$245.66	$467.92	$1,564.74
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $436.07 / $763.71	Professional		$245.66	$436.07	$763.71