Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $199.53 / $1,318.26	Facility		$95.50	$199.53	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $295.12	Professional		$93.33	$102.33	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $95.50 / $245.47	Facility		$46.77	$95.50	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $112.20	Professional		$93.33	$95.50	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $93.33	Facility		$89.13	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $123.03 / $707.95	Facility		$91.20	$123.03	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $93.33 / $107.15	Professional		$70.79	$93.33	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $123.03	Facility		$93.33	$112.20	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $109.65	Professional		$85.11	$93.33	$109.65