Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $92.28 / $127.61	Facility		$83.49	$92.28	$127.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $98.15 / $111.90	Professional		$36.34	$98.15	$111.90
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 $77.33 / $90.59 / $131.84	Facility		$77.33	$90.59	$131.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $103.33 / $117.84	Professional		$88.87	$103.33	$117.84
United Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $103.33 / $117.79	Professional		$98.16	$103.33	$117.79