Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $118.43 / $137.65	Facility		$14.17	$118.43	$137.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.59 / $104.67 / $131.75	Professional		$78.59	$104.67	$131.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.99 / $174.66 / $270.41	Facility		$111.99	$174.66	$270.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $118.43 / $118.43	Professional		$118.43	$118.43	$118.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Facility		$115.07	$115.07	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.07 / $115.07 / $115.07	Professional		$115.07	$115.07	$115.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.67 / $118.43 / $431.25	Facility		$100.67	$118.43	$431.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $118.43 / $119.51	Professional		$98.82	$118.43	$119.51
United Facility/Professional Professional Modifier Low / Median / High Price $102.74 / $121.23 / $123.29	Professional		$102.74	$121.23	$123.29