Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.90 / $79.87 / $108.62	Facility		$63.90	$79.87	$108.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $63.90 / $83.86	Professional		$63.90	$63.90	$83.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.55 / $113.15 / $175.19	Facility		$72.55	$113.15	$175.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $35.14 / $46.85	Professional		$35.14	$35.14	$46.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Facility		$67.89	$67.89	$67.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $67.89 / $67.89	Professional		$67.89	$67.89	$67.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.58 / $107.24 / $339.50	Facility		$42.58	$107.24	$339.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.58 / $66.56 / $70.61	Professional		$56.58	$66.56	$70.61
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $77.01	Professional		$66.56	$66.56	$77.01