Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $91.47 / $124.40	Facility		$79.39	$91.47	$124.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $81.64 / $96.22	Professional		$79.26	$81.64	$96.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.26 / $134.74 / $284.70	Facility		$79.26	$134.74	$284.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $99.08	Professional		$79.26	$79.26	$99.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $79.26 / $79.26	Facility		$74.77	$79.26	$79.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.26 / $79.26 / $79.26	Professional		$79.26	$79.26	$79.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.39 / $91.32 / $384.75	Facility		$79.39	$91.32	$384.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.48 / $79.39 / $89.92	Professional		$67.48	$79.39	$89.92
United Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $79.20 / $79.20	Facility		$79.20	$79.20	$79.20
United Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $79.26 / $89.92	Professional		$71.73	$79.26	$89.92