Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.44 / $219.35 / $298.32	Facility		$195.44	$219.35	$298.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $199.57 / $232.51	Professional		$193.76	$199.57	$232.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.76 / $329.39 / $695.99	Facility		$193.76	$329.39	$695.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $242.20	Professional		$193.76	$193.76	$242.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $182.79 / $193.76	Facility		$182.79	$182.79	$193.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.76 / $193.76 / $193.76	Professional		$193.76	$193.76	$193.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.75 / $219.70 / $931.55	Facility		$189.75	$219.70	$931.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.29 / $189.75 / $218.21	Professional		$161.29	$189.75	$218.21
United Facility/Professional Professional Modifier Low / Median / High Price $184.07 / $193.76 / $223.51	Professional		$184.07	$193.76	$223.51