Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $129.62 / $129.62	Facility		$129.62	$129.62	$129.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $161.38	Professional		$129.62	$129.62	$161.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $121.52 / $162.02	Professional		$121.52	$121.52	$162.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Facility		$137.72	$137.72	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $137.72 / $137.72	Professional		$137.72	$137.72	$137.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $139.99 / $259.24	Facility		$129.62	$139.99	$259.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.83 / $153.91 / $221.80	Professional		$130.83	$153.91	$221.80
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $177.01	Professional		$153.91	$153.91	$177.01