Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $87.40 / $16,399.07	Facility		$74.86	$87.40	$16,399.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $78.25 / $91.17	Professional		$75.97	$78.25	$91.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $129.15 / $272.88	Facility		$75.97	$129.15	$272.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $94.96	Professional		$75.97	$75.97	$94.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.67 / $71.67 / $75.97	Facility		$71.67	$71.67	$75.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Professional		$75.97	$75.97	$75.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.86 / $93.68 / $624.26	Facility		$74.86	$93.68	$624.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.63 / $74.86 / $86.61	Professional		$63.63	$74.86	$86.61
United Facility/Professional Facility Modifier Low / Median / High Price $75.97 / $75.97 / $75.97	Facility		$75.97	$75.97	$75.97
United Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $75.97 / $94.73	Professional		$64.56	$75.97	$94.73