Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.07 / $105.07 / $139.97	Facility		$105.07	$105.07	$139.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $108.89 / $166.20	Professional		$92.59	$108.89	$166.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.71 / $210.75 / $926.48	Facility		$200.71	$210.75	$926.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $109.55 / $162.38	Professional		$97.94	$109.55	$162.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $85.07	Professional		$85.07	$85.07	$85.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $162.44 / $947.19	Facility		$100.43	$162.44	$947.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $100.13 / $243.97	Professional		$74.45	$100.13	$243.97
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $100.13 / $159.34	Professional		$74.45	$100.13	$159.34