Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $245.76 / $334.23	Facility		$217.09	$245.76	$334.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $221.43 / $260.51	Professional		$217.09	$221.43	$260.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $293.07 / $779.79	Facility		$217.09	$293.07	$779.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $271.36	Professional		$217.09	$217.09	$271.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $204.80 / $217.09	Facility		$204.80	$204.80	$217.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $263.38	Professional		$217.09	$217.09	$263.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $245.76 / $411.86	Facility		$217.09	$245.76	$411.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $229.59 / $948.17	Professional		$214.10	$229.59	$948.17
United Facility/Professional Professional Modifier Low / Median / High Price $214.10 / $217.09 / $251.17	Professional		$214.10	$217.09	$251.17