Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $99.40 / $128.00	Facility		$73.93	$99.40	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $84.49 / $101.39	Professional		$84.48	$84.49	$101.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.28 / $140.81 / $218.01	Facility		$90.28	$140.81	$218.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.40 / $99.40 / $99.40	Professional		$99.40	$99.40	$99.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Facility		$92.77	$92.77	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $92.77 / $92.77	Professional		$92.77	$92.77	$92.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.13 / $143.51 / $372.75	Facility		$62.13	$143.51	$372.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $99.40 / $130.53	Professional		$82.83	$99.40	$130.53
United Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $99.40 / $130.53	Professional		$82.83	$99.40	$130.53