Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $245.47 / $794.33	Facility		$213.80	$245.47	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $218.78 / $338.84	Professional		$213.80	$218.78	$338.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $229.09 / $741.31	Facility		$213.80	$229.09	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $245.47	Professional		$213.80	$213.80	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $213.80 / $213.80	Facility		$199.53	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $218.78	Professional		$213.80	$213.80	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $1,047.13	Facility		$213.80	$257.04	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $245.47	Professional		$158.49	$213.80	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $257.04 / $281.84	Facility		$213.80	$257.04	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $245.47	Professional		$194.98	$213.80	$245.47