Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.28 / $145.38 / $218.30	Facility		$91.28	$145.38	$218.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.93 / $122.49 / $193.86	Professional		$96.93	$122.49	$193.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $24.50 / $68.90 / $175.00	Professional	25	$24.50	$68.90	$175.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $126.25 / $212.54	Professional		$99.68	$126.25	$212.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.41 / $193.50 / $223.21	Professional		$127.41	$193.50	$223.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.05 / $330.02 / $694.84	Facility		$141.05	$330.02	$694.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $135.08 / $220.17	Professional		$109.83	$135.08	$220.17
United Facility/Professional Facility Modifier Low / Median / High Price $109.38 / $109.38 / $109.38	Facility		$109.38	$109.38	$109.38
United Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $140.09 / $224.21	Professional		$109.83	$140.09	$224.21