Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.66 / $145.85 / $169.86	Facility		$139.66	$145.85	$169.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $145.85 / $170.89	Professional		$141.60	$145.85	$170.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.60 / $240.72 / $508.63	Facility		$141.60	$240.72	$508.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $177.00	Professional		$141.60	$141.60	$177.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $141.60 / $141.60	Facility		$133.59	$141.60	$141.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.60 / $141.60 / $141.60	Professional		$141.60	$141.60	$141.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.36 / $149.69 / $682.80	Facility		$124.36	$149.69	$682.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.85 / $141.00 / $162.15	Professional		$119.85	$141.00	$162.15
United Facility/Professional Professional Modifier Low / Median / High Price $120.36 / $141.60 / $163.83	Professional		$120.36	$141.60	$163.83