Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $1,096.48	Facility		$151.36	$208.93	$1,096.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $181.97 / $281.84	Professional		$151.36	$181.97	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $323.59	Professional		$154.88	$223.87	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $288.40	Professional		$165.96	$204.17	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $1,000.00	Facility		$389.05	$630.96	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $218.78 / $380.19	Professional		$154.88	$218.78	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $229.09 / $426.58	Facility		$147.91	$229.09	$426.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $1,122.02	Professional		$154.88	$213.80	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,047.13 / $2,137.96	Facility		$154.88	$1,047.13	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $288.40	Professional		$147.91	$190.55	$288.40