Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $457.09	Facility		$112.20	$141.25	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $117.49 / $194.98	Professional		$112.20	$117.49	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $338.84	Facility		$97.72	$104.71	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $141.25	Professional		$107.15	$107.15	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $120.23 / $120.23	Professional		$117.49	$120.23	$120.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $138.04 / $537.03	Facility		$97.72	$138.04	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $138.04	Professional		$100.00	$117.49	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $162.18 / $190.55	Facility		$97.72	$162.18	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $117.49 / $138.04	Professional		$107.15	$117.49	$138.04