Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $302.00 / $977.24	Facility		$263.03	$302.00	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $380.19	Professional		$257.04	$263.03	$380.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $281.84 / $912.01	Facility		$263.03	$281.84	$912.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $263.03 / $323.59	Professional		$257.04	$263.03	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $263.03 / $263.03	Facility		$245.47	$263.03	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $295.12	Professional		$263.03	$263.03	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $295.12 / $489.78	Facility		$257.04	$295.12	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $269.15 / $1,096.48	Professional		$234.42	$269.15	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $302.00 / $331.13	Facility		$257.04	$302.00	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $263.03 / $295.12	Professional		$234.42	$263.03	$295.12