Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.53 / $156.46 / $516.58	Facility		$30.53	$156.46	$516.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.35 / $129.74 / $164.52	Professional		$123.35	$129.74	$164.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.36 / $129.53 / $324.68	Facility		$123.36	$129.53	$324.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $154.19	Professional		$123.36	$123.36	$154.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.38 / $116.38 / $123.36	Facility		$116.38	$116.38	$123.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $123.36 / $123.36	Professional		$123.36	$123.36	$123.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.97 / $186.66 / $505.07	Facility		$135.97	$186.66	$505.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.57 / $135.97 / $143.26	Professional		$115.57	$135.97	$143.26
United Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $123.36 / $141.86	Professional		$104.86	$123.36	$141.86