Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.22 / $186.54 / $211.40	Facility		$149.22	$186.54	$211.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.22 / $149.22 / $195.87	Professional		$149.22	$149.22	$195.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.96 / $181.86 / $409.14	Facility		$51.96	$181.86	$409.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $136.63 / $182.17	Professional		$136.63	$136.63	$182.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Facility		$158.56	$158.56	$158.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.56 / $158.56 / $158.56	Professional		$158.56	$158.56	$158.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.92 / $174.57 / $683.14	Facility		$48.92	$174.57	$683.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $155.44 / $162.36	Professional		$132.13	$155.44	$162.36
United Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $155.44 / $162.72	Professional		$132.13	$155.44	$162.72