Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.97 / $179.97 / $239.77	Facility		$179.97	$179.97	$239.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.58 / $186.52 / $284.68	Professional		$177.58	$186.52	$284.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.79 / $360.98 / $1,586.93	Facility		$343.79	$360.98	$1,586.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.89 / $186.58 / $278.27	Professional		$170.89	$186.58	$278.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $205.65	Professional		$140.82	$140.82	$205.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $171.93 / $278.27 / $1,609.26	Facility		$171.93	$278.27	$1,609.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $171.51 / $417.87	Professional		$127.61	$171.51	$417.87
United Facility/Professional Professional Modifier Low / Median / High Price $127.61 / $171.51 / $261.02	Professional		$127.61	$171.51	$261.02