Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.50 / $125.50 / $125.50	Facility		$125.50	$125.50	$125.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $125.50 / $138.05	Professional		$125.50	$125.50	$138.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $110.74	Facility		$0.02	$0.03	$110.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $147.65 / $147.65	Professional		$147.65	$147.65	$147.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Facility		$137.94	$137.94	$137.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $137.94 / $137.94	Professional		$137.94	$137.94	$137.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $172.65 / $532.45	Facility		$110.47	$172.65	$532.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.69 / $157.69 / $178.57	Professional		$144.69	$157.69	$178.57
United Facility/Professional Professional Modifier Low / Median / High Price $147.65 / $157.69 / $177.18	Professional		$147.65	$157.69	$177.18