Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $41.55 / $173.16	Facility		$23.08	$41.55	$173.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $133.16 / $243.92	Professional		$23.08	$133.16	$243.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $1,466.00 / $1,641.00	Facility		$1,423.00	$1,466.00	$1,641.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $128.41 / $321.44	Professional		$22.42	$128.41	$321.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.97 / $370.87 / $901.76	Facility		$76.97	$370.87	$901.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $160.59 / $368.29	Professional		$24.86	$160.59	$368.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.93 / $154.09 / $385.16	Facility		$24.93	$154.09	$385.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $247.49 / $1,264.84	Professional		$177.59	$247.49	$1,264.84
United Facility/Professional Professional Modifier Low / Median / High Price $166.94 / $213.47 / $318.89	Professional		$166.94	$213.47	$318.89