Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $154.88	Professional		$125.89	$125.89	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $109.65 / $109.65	Facility		$0.03	$109.65	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $537.03	Facility		$109.65	$173.78	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $154.88 / $177.83	Professional		$134.90	$154.88	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $147.91	Facility		$138.04	$138.04	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $177.83	Professional		$144.54	$158.49	$177.83