Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $223.87 / $309.03	Facility		$194.98	$223.87	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $199.53 / $288.40	Professional		$194.98	$199.53	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $208.93 / $691.83	Facility		$194.98	$208.93	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $194.98 / $234.42	Professional		$190.55	$194.98	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $194.98	Facility		$186.21	$186.21	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $213.80 / $346.74	Facility		$190.55	$213.80	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $794.33	Professional		$186.21	$199.53	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $229.09 / $251.19	Facility		$190.55	$229.09	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $218.78	Professional		$177.83	$194.98	$218.78