Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $150.00 / $204.00	Facility		$120.00	$150.00	$204.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $157.50	Professional		$120.00	$120.00	$157.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $212.50 / $471.92	Facility		$131.38	$212.50	$471.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $150.00	Professional		$112.50	$112.50	$150.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Facility		$127.50	$127.50	$127.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $127.50	Professional		$127.50	$127.50	$127.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $150.00 / $1,457.50	Facility		$120.00	$150.00	$1,457.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $125.00 / $143.75	Professional		$106.25	$125.00	$143.75
United Facility/Professional Professional Modifier Low / Median / High Price $106.25 / $125.00 / $147.00	Professional		$106.25	$125.00	$147.00