Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.94 / $160.53 / $160.53	Facility		$67.94	$160.53	$160.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $84.55 / $163.38	Professional		$67.94	$84.55	$163.38
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 $261.42 / $261.42 / $365.99	Professional		$261.42	$261.42	$365.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Facility		$128.69	$128.69	$128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.69 / $128.69 / $128.69	Professional		$128.69	$128.69	$128.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.97 / $240.11 / $828.37	Facility		$87.97	$240.11	$828.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $259.31 / $373.67	Professional		$234.68	$259.31	$373.67
United Facility/Professional Professional Modifier Low / Median / High Price $234.68 / $259.31 / $341.59	Professional		$234.68	$259.31	$341.59