Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $288.40 / $501.19	Facility		$165.96	$288.40	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $288.40	Professional		$128.82	$162.18	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $602.56	Facility		$173.78	$173.78	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $436.52	Professional		$97.72	$173.78	$436.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $173.78 / $204.17	Facility		$169.82	$173.78	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $263.03	Professional		$120.23	$173.78	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $323.59 / $954.99	Facility		$229.09	$323.59	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $630.96	Professional		$85.11	$165.96	$630.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $269.15 / $831.76	Facility		$151.36	$269.15	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $239.88 / $1,412.54	Professional		$104.71	$239.88	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $208.93 / $239.88	Facility		$61.66	$208.93	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $173.78 / $354.81	Professional		$104.71	$173.78	$354.81