Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $192.00 / $261.12	Facility		$153.60	$192.00	$261.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $201.60	Professional		$153.60	$153.60	$201.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.40 / $272.00 / $421.12	Facility		$174.40	$272.00	$421.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $153.60 / $192.00	Professional		$144.00	$153.60	$192.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Facility		$163.19	$163.19	$163.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $163.19 / $163.19	Professional		$163.19	$163.19	$163.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $192.00 / $831.65	Facility		$153.60	$192.00	$831.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $160.00 / $184.00	Professional		$136.00	$160.00	$184.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.80 / $160.00 / $184.00	Professional		$144.80	$160.00	$184.00