Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.20 / $181.22 / $6,389.16	Facility		$106.20	$181.22	$6,389.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.33 / $184.85 / $213.10	Professional		$121.33	$184.85	$213.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $204.39 / $650.94	Facility		$181.22	$204.39	$650.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $226.53	Professional		$181.22	$181.22	$226.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.96 / $170.96 / $181.22	Facility		$170.96	$170.96	$181.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.22 / $181.22 / $181.22	Professional		$181.22	$181.22	$181.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.82 / $217.46 / $874.00	Facility		$175.82	$217.46	$874.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.44 / $175.82 / $203.42	Professional		$149.44	$175.82	$203.42
United Facility/Professional Facility Modifier Low / Median / High Price $149.82 / $149.82 / $149.82	Facility		$149.82	$149.82	$149.82
United Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $181.22 / $220.84	Professional		$164.00	$181.22	$220.84