Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $135.29 / $142.05	Facility		$117.19	$135.29	$142.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $120.88 / $142.05	Professional		$117.36	$120.88	$142.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $199.51 / $421.56	Facility		$117.36	$199.51	$421.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $146.69	Professional		$117.36	$117.36	$146.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.72 / $110.72 / $117.36	Facility		$110.72	$110.72	$117.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.36 / $117.36 / $117.36	Professional		$117.36	$117.36	$117.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.19 / $137.47 / $582.35	Facility		$117.19	$137.47	$582.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.61 / $117.19 / $134.21	Professional		$99.61	$117.19	$134.21
United Facility/Professional Professional Modifier Low / Median / High Price $99.76 / $117.36 / $134.21	Professional		$99.76	$117.36	$134.21