Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.62 / $995.92 / $1,032.75	Facility		$496.62	$995.92	$1,032.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.55 / $774.73 / $1,182.49	Professional		$747.55	$774.73	$1,182.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,427.99 / $1,499.39 / $6,591.60	Facility		$1,427.99	$1,499.39	$6,591.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $715.61 / $765.53 / $1,155.85	Professional		$715.61	$765.53	$1,155.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $906.54 / $906.54 / $906.54	Facility		$906.54	$906.54	$906.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $661.77 / $661.77 / $966.42	Professional		$661.77	$661.77	$966.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $704.34 / $1,155.82 / $6,665.91	Facility		$704.34	$1,155.82	$6,665.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $522.16 / $712.41 / $1,735.72	Professional		$522.16	$712.41	$1,735.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,353.86 / $1,353.86 / $1,353.86	Professional		$1,353.86	$1,353.86	$1,353.86
United Facility/Professional Professional Modifier Low / Median / High Price $493.49 / $712.41 / $1,105.91	Professional		$493.49	$712.41	$1,105.91