Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,659.59 / $1,659.59	Facility		$630.96	$1,659.59	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,862.09	Professional		$660.69	$776.25	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,380.38	Professional		$891.25	$891.25	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,089.30	Facility		$1,122.02	$1,318.26	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $776.25	Professional		$524.81	$645.65	$776.25
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $776.25	Facility		$478.63	$776.25	$776.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $776.25 / $776.25	Facility		$436.52	$776.25	$776.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $602.56	Facility		$114.82	$114.82	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $1,348.96	Professional		$158.49	$158.49	$1,348.96