Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $155.37	Professional		$141.25	$141.25	$155.37
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 $142.00 / $142.00 / $142.00	Professional		$142.00	$142.00	$142.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Facility		$148.50	$148.50	$148.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $148.50 / $148.50	Professional		$148.50	$148.50	$148.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $168.96 / $396.91	Facility		$141.25	$168.96	$396.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $169.77 / $192.25	Professional		$155.78	$169.77	$192.25
United Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $166.91 / $198.70	Professional		$155.78	$166.91	$198.70