Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.92 / $216.92 / $216.92	Facility		$216.92	$216.92	$216.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.91 / $216.92 / $247.29	Professional		$216.91	$216.92	$247.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $255.20 / $255.20	Professional		$255.20	$255.20	$255.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Facility		$238.19	$238.19	$238.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.19 / $238.19 / $238.19	Professional		$238.19	$238.19	$238.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.76 / $276.08 / $622.16	Facility		$177.76	$276.08	$622.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $255.20 / $264.92	Professional		$219.05	$255.20	$264.92
United Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $255.20 / $262.86	Professional		$219.05	$255.20	$262.86