Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $89.13 / $89.13	Facility		$38.02	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $89.13	Professional		$47.86	$64.57	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $138.04	Professional		$97.72	$109.65	$138.04
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 $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $141.25 / $165.96	Facility		$81.28	$141.25	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $141.25	Professional		$83.18	$91.20	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $194.98	Facility		$165.96	$165.96	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89