Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $177.83 / $177.83	Facility		$75.86	$177.83	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $120.23 / $169.82	Professional		$93.33	$120.23	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $181.97	Professional		$97.72	$109.65	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $194.98	Professional		$123.03	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $177.83 / $562.34	Facility		$95.50	$177.83	$562.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $933.25	Professional		$288.40	$346.74	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $173.78 / $288.40	Facility		$69.18	$173.78	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $173.78	Professional		$114.82	$125.89	$173.78