Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $436.52 / $501.19	Facility		$251.19	$436.52	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $436.52	Professional		$169.82	$218.78	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $912.01	Facility		$263.03	$263.03	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $158.49 / $467.74	Professional		$23.44	$158.49	$467.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $380.19 / $676.08	Facility		$363.08	$380.19	$676.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $288.40	Professional		$181.97	$263.03	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $501.19 / $616.60	Facility		$338.84	$501.19	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $371.54	Professional		$123.03	$251.19	$371.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $1,230.27	Facility		$208.93	$323.59	$1,230.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $1,288.25	Professional		$109.65	$154.88	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $309.03	Facility		$109.65	$263.03	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $288.40	Professional		$109.65	$154.88	$288.40