Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $249.90 / $339.86	Facility		$216.74	$249.90	$339.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $221.24 / $262.26	Professional		$216.90	$221.24	$262.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.90 / $292.82 / $779.10	Facility		$216.90	$292.82	$779.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $271.13	Professional		$216.90	$216.90	$271.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.63 / $204.63 / $216.90	Facility		$204.63	$204.63	$216.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $260.00	Professional		$216.90	$216.90	$260.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $249.90 / $411.21	Facility		$216.74	$249.90	$411.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $229.22 / $936.51	Professional		$212.00	$229.22	$936.51
United Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $216.90 / $254.90	Professional		$210.39	$216.90	$254.90