Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.94 / $105.41 / $110.68	Facility		$86.94	$105.41	$110.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $89.90 / $105.41	Professional		$87.28	$89.90	$105.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.28 / $148.38 / $313.51	Facility		$87.28	$148.38	$313.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $109.10	Professional		$87.28	$87.28	$109.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.34 / $87.28 / $87.28	Facility		$82.34	$87.28	$87.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.28 / $87.28 / $87.28	Professional		$87.28	$87.28	$87.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $112.80 / $393.25	Facility		$88.68	$112.80	$393.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $86.94 / $99.98	Professional		$73.90	$86.94	$99.98
United Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $87.28 / $100.98	Professional		$74.19	$87.28	$100.98