Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $371.58 / $557.38	Facility		$80.00	$371.58	$557.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $358.56 / $384.63 / $567.16	Professional		$358.56	$384.63	$567.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $684.93 / $719.18 / $3,161.64	Facility		$684.93	$719.18	$3,161.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.26 / $414.84 / $557.72	Professional		$342.26	$414.84	$557.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.80 / $335.80 / $490.38	Professional		$335.80	$335.80	$490.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $358.56 / $554.38 / $3,814.11	Facility		$358.56	$554.38	$3,814.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.10 / $341.71 / $832.53	Professional		$283.10	$341.71	$832.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $630.13 / $630.13 / $630.13	Professional		$630.13	$630.13	$630.13
United Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $341.71 / $660.38	Professional		$267.55	$341.71	$660.38