Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $616.60	Facility		$389.05	$446.68	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $398.11 / $549.54	Professional		$389.05	$398.11	$549.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $416.87 / $1,380.38	Facility		$389.05	$416.87	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $489.78	Professional		$389.05	$389.05	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $389.05 / $389.05	Facility		$371.54	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $436.52	Professional		$389.05	$389.05	$436.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $446.68 / $724.44	Facility		$380.19	$446.68	$724.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $1,584.89	Professional		$346.74	$407.38	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $446.68 / $489.78	Facility		$389.05	$446.68	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $436.52	Professional		$354.81	$389.05	$436.52