Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $117.49	Facility		$102.33	$102.33	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $107.15 / $239.88	Professional		$79.43	$107.15	$239.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $707.95	Facility		$199.53	$199.53	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $186.21	Professional		$104.71	$109.65	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $199.53	Professional		$120.23	$120.23	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $112.20 / $112.20	Facility		$91.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $158.49 / $954.99	Facility		$100.00	$158.49	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $1,148.15	Professional		$69.18	$97.72	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $158.49 / $158.49	Facility		$83.18	$158.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $141.25	Professional		$69.18	$95.50	$141.25