Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $215.54 / $226.32	Facility		$126.24	$215.54	$226.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $131.28 / $215.54	Professional		$127.45	$131.28	$215.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.45 / $216.67 / $457.80	Facility		$127.45	$216.67	$457.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $159.31	Professional		$127.45	$127.45	$159.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.24 / $127.45 / $127.45	Facility		$120.24	$127.45	$127.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $127.45	Professional		$127.45	$127.45	$127.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.24 / $183.21 / $1,102.17	Facility		$126.24	$183.21	$1,102.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $126.24 / $146.06	Professional		$107.30	$126.24	$146.06
United Facility/Professional Professional Modifier Low / Median / High Price $127.45 / $127.45 / $158.93	Professional		$127.45	$127.45	$158.93