Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $213.80	Facility		$162.18	$162.18	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $204.17	Professional		$162.18	$165.96	$204.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $194.98 / $467.74	Facility		$173.78	$194.98	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $204.17	Professional		$151.36	$162.18	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $208.93 / $446.68	Facility		$165.96	$208.93	$446.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $724.44	Professional		$173.78	$204.17	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $204.17 / $263.03	Facility		$173.78	$204.17	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $213.80	Professional		$181.97	$204.17	$213.80