Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $575.44 / $1,862.09	Facility		$104.71	$575.44	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $575.44	Professional		$104.71	$109.65	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $363.08	Facility		$104.71	$112.20	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $489.78	Professional		$104.71	$169.82	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Facility		$97.72	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $107.15	Professional		$104.71	$104.71	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $602.56 / $2,454.71	Facility		$165.96	$602.56	$2,454.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $363.08	Professional		$141.25	$165.96	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $602.56 / $660.69	Facility		$169.82	$602.56	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $489.78	Professional		$95.50	$104.71	$489.78