Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $179.56	Professional		$163.24	$163.24	$179.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $176.00 / $192.05	Professional		$176.00	$176.00	$192.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Facility		$179.39	$179.39	$179.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.97 / $218.32 / $492.01	Facility		$144.97	$218.32	$492.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $192.05 / $199.53	Professional		$164.98	$192.05	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $164.98 / $192.05 / $197.98	Professional		$164.98	$192.05	$197.98