Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $190.52 / $619.19	Facility		$163.21	$190.52	$619.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $167.54 / $197.48	Professional		$164.25	$167.54	$197.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.25 / $221.74 / $589.99	Facility		$164.25	$221.74	$589.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $205.31	Professional		$164.25	$164.25	$205.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.96 / $154.96 / $164.25	Facility		$154.96	$154.96	$164.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $164.25 / $193.69	Professional		$164.25	$164.25	$193.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $190.52 / $290.64	Facility		$163.21	$190.52	$290.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $172.61 / $3,623.57	Professional		$147.71	$172.61	$3,623.57
United Facility/Professional Professional Modifier Low / Median / High Price $156.04 / $164.25 / $193.97	Professional		$156.04	$164.25	$193.97