Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $194.98 / $645.65	Facility		$169.82	$194.98	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.78 / $275.42	Professional		$169.82	$173.78	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $588.84	Facility		$169.82	$181.97	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $169.82 / $194.98	Professional		$165.96	$169.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $169.82 / $169.82	Facility		$158.49	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $173.78	Professional		$169.82	$169.82	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $194.98 / $812.83	Facility		$162.18	$194.98	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $186.21	Professional		$123.03	$162.18	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $218.78	Facility		$165.96	$199.53	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $194.98	Professional		$151.36	$169.82	$194.98