Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.67 / $95.63 / $112.30	Facility		$74.67	$95.63	$112.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $75.40 / $147.84	Professional		$72.45	$75.40	$147.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $78.31 / $262.93	Facility		$73.20	$78.31	$262.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.34 / $92.96	Professional		$73.20	$73.34	$92.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $73.20 / $88.59	Facility		$69.06	$73.20	$88.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $93.23	Professional		$73.20	$73.20	$93.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $91.13 / $134.12	Facility		$73.05	$91.13	$134.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.86 / $77.43 / $2,022.25	Professional		$70.86	$77.43	$2,022.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $84.18 / $84.18 / $84.18	Professional		$84.18	$84.18	$84.18
United Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $73.20 / $87.11	Professional		$71.00	$73.20	$87.11