Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.79 / $84.08 / $127.61	Facility		$68.79	$84.08	$127.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $87.89 / $105.85	Professional		$40.00	$87.89	$105.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $166.87 / $352.59	Facility		$98.16	$166.87	$352.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.95 / $87.95 / $99.83	Professional		$87.95	$87.95	$99.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Facility		$96.58	$96.58	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.26 / $90.59 / $289.73	Facility		$77.26	$90.59	$289.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $101.75 / $103.48	Professional		$80.62	$101.75	$103.48
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $101.75 / $103.48	Professional		$86.23	$101.75	$103.48