Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $141.24 / $141.24	Facility		$141.24	$141.24	$141.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.24 / $141.24 / $141.24	Professional		$141.24	$141.24	$141.24
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 $149.71 / $149.71 / $176.55	Professional		$149.71	$149.71	$176.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $156.80 / $156.80	Professional		$156.80	$156.80	$156.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.24 / $169.49 / $396.88	Facility		$141.24	$169.49	$396.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.28 / $136.80 / $157.32	Professional		$116.28	$136.80	$157.32
United Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $136.80 / $158.28	Professional		$123.80	$136.80	$158.28