Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.82 / $124.61 / $169.47	Facility		$106.82	$124.61	$169.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $107.87 / $130.84	Professional		$104.73	$107.87	$130.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.73 / $178.04 / $376.19	Facility		$104.73	$178.04	$376.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $130.91	Professional		$104.73	$104.73	$130.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.80 / $104.73 / $104.73	Facility		$98.80	$104.73	$104.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.73 / $104.73 / $104.73	Professional		$104.73	$104.73	$104.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.95 / $117.05 / $502.50	Facility		$104.95	$117.05	$502.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $104.95 / $120.69	Professional		$89.21	$104.95	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $89.02 / $104.73 / $121.17	Professional		$89.02	$104.73	$121.17