Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.06 / $95.74 / $130.21	Facility		$87.06	$95.74	$130.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $86.26 / $102.28	Professional		$84.57	$86.26	$102.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $114.17 / $303.77	Facility		$84.57	$114.17	$303.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $105.71	Professional		$84.57	$84.57	$105.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.78 / $79.78 / $84.57	Facility		$79.78	$79.78	$84.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $107.71	Professional		$84.57	$84.57	$107.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $95.74 / $161.11	Facility		$84.53	$95.74	$161.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.53 / $89.60 / $518.54	Professional		$84.53	$89.60	$518.54
United Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $84.57 / $98.61	Professional		$82.88	$84.57	$98.61