Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $162.66 / $267.64	Facility		$122.50	$162.66	$267.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $98.06 / $160.30	Professional		$61.14	$98.06	$160.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $121.13 / $532.50	Facility		$115.36	$121.13	$532.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $102.67 / $305.17	Professional		$56.97	$102.67	$305.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.47 / $241.96 / $643.45	Facility		$152.47	$241.96	$643.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $77.84 / $172.25	Professional		$28.73	$77.84	$172.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.36 / $181.74 / $547.96	Facility		$100.36	$181.74	$547.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $94.94 / $285.61	Professional		$48.45	$94.94	$285.61
United Facility/Professional Facility Modifier Low / Median / High Price $51.91 / $115.36 / $115.36	Facility		$51.91	$115.36	$115.36
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $69.39 / $149.51	Professional		$48.45	$69.39	$149.51