Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $207.65 / $251.28 / $9,102.32	Facility		$207.65	$251.28	$9,102.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $212.20 / $257.18	Professional		$205.62	$212.20	$257.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $346.09 / $731.26	Facility		$203.58	$346.09	$731.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $254.48	Professional		$203.58	$203.58	$254.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.06 / $203.58 / $203.58	Facility		$192.06	$203.58	$203.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $203.58	Professional		$203.58	$203.58	$203.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $212.20 / $266.22 / $1,029.40	Facility		$212.20	$266.22	$1,029.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.04 / $212.20 / $265.25	Professional		$192.04	$212.20	$265.25
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $203.58 / $284.20	Professional		$203.58	$203.58	$284.20