Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $158.63 / $515.58	Facility		$63.38	$158.63	$515.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $81.45 / $158.63	Professional		$79.86	$81.45	$158.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.86 / $107.81 / $286.86	Facility		$79.86	$107.81	$286.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $80.26 / $101.42	Professional		$79.86	$80.26	$101.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.34 / $75.34 / $79.86	Facility		$75.34	$75.34	$79.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $79.86 / $101.71	Professional		$79.86	$79.86	$101.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.38 / $96.98 / $176.49	Facility		$63.38	$96.98	$176.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.18 / $67.18 / $4,956.64	Professional		$63.18	$67.18	$4,956.64
United Facility/Professional Professional Modifier Low / Median / High Price $79.86 / $84.46 / $111.48	Professional		$79.86	$84.46	$111.48