Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $190.55 / $630.96	Facility		$97.72	$190.55	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $190.55	Professional		$97.72	$102.33	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $346.74	Facility		$97.72	$104.71	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $128.82	Professional		$97.72	$102.33	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $97.72 / $97.72	Facility		$93.33	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Professional		$97.72	$97.72	$102.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $691.83	Facility		$102.33	$162.18	$691.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $123.03	Professional		$83.18	$102.33	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $147.91 / $147.91	Facility		$97.72	$147.91	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $97.72 / $123.03	Professional		$89.13	$97.72	$123.03