Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $107.97 / $209.99	Facility		$78.95	$107.97	$209.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.84 / $116.23 / $207.64	Professional		$82.84	$116.23	$207.64
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $128.72 / $128.72 / $128.72	Professional	25	$128.72	$128.72	$128.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.27 / $121.58 / $193.87	Professional		$94.27	$121.58	$193.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.58 / $186.07 / $249.01	Professional		$112.58	$186.07	$249.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $287.58 / $601.01	Facility		$122.31	$287.58	$601.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.24 / $128.41 / $209.25	Professional		$108.24	$128.41	$209.25
United Facility/Professional Professional Modifier Low / Median / High Price $106.38 / $131.72 / $216.72	Professional		$106.38	$131.72	$216.72