Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $234.42 / $10,964.78	Facility		$162.18	$234.42	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $169.82 / $281.84	Professional		$162.18	$169.82	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $575.44	Facility		$162.18	$173.78	$575.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $204.17	Professional		$162.18	$165.96	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $162.18 / $162.18	Facility		$154.88	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $169.82	Professional		$162.18	$162.18	$169.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $218.78 / $851.14	Facility		$169.82	$218.78	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $199.53	Professional		$125.89	$169.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $199.53 / $218.78	Facility		$162.18	$199.53	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $199.53	Professional		$147.91	$162.18	$199.53