Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $114.82	Facility		$100.00	$100.00	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $234.42	Professional		$83.18	$114.82	$234.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $691.83	Facility		$194.98	$194.98	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $181.97	Professional		$109.65	$120.23	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $194.98	Professional		$117.49	$117.49	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $204.17	Facility		$138.04	$138.04	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $138.04	Professional		$100.00	$100.00	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $154.88 / $977.24	Facility		$100.00	$154.88	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $1,258.93	Professional		$74.13	$95.50	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $154.88	Facility		$89.13	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $144.54	Professional		$74.13	$95.50	$144.54