Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $218.78 / $407.38	Facility		$173.78	$218.78	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $275.42	Professional		$173.78	$173.78	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $186.21 / $602.56	Facility		$173.78	$186.21	$602.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $218.78	Professional		$173.78	$173.78	$218.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $173.78 / $173.78	Facility		$162.18	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Professional		$173.78	$173.78	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $190.55 / $302.00	Facility		$165.96	$190.55	$302.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $2,951.21	Professional		$154.88	$181.97	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $199.53 / $218.78	Facility		$173.78	$199.53	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $199.53	Professional		$154.88	$173.78	$199.53