Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $125.89 / $173.78	Facility		$104.71	$125.89	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $169.82	Professional		$104.71	$107.15	$169.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $371.54	Facility		$104.71	$112.20	$371.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $104.71 / $125.89	Professional		$100.00	$104.71	$125.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $104.71	Facility		$100.00	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $120.23 / $190.55	Facility		$100.00	$120.23	$190.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $426.58	Professional		$93.33	$107.15	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $117.49 / $128.82	Facility		$100.00	$117.49	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $120.23	Professional		$95.50	$104.71	$120.23