Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $144.54 / $234.42	Professional		$138.04	$144.54	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $144.54	Professional		$138.04	$138.04	$144.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $213.80 / $588.84	Facility		$128.82	$213.80	$588.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $331.13 / $354.81	Professional		$281.84	$331.13	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $173.78 / $331.13	Facility		$131.83	$173.78	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $380.19	Professional		$302.00	$331.13	$380.19