Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.16 / $98.16 / $98.16	Facility		$98.16	$98.16	$98.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.16 / $98.16 / $101.84	Professional		$98.16	$98.16	$101.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $92.03 / $122.70	Professional		$92.03	$92.03	$122.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $4.62 / $122.70 / $541.95	Facility		$4.62	$122.70	$541.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $122.70 / $123.93	Professional		$104.30	$122.70	$123.93
United Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $122.70 / $122.70	Professional		$104.30	$122.70	$122.70