Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $234.42	Facility		$204.17	$204.17	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $660.69	Professional		$169.82	$234.42	$660.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,412.54	Facility		$398.11	$398.11	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $239.88 / $371.54	Professional		$229.09	$239.88	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $398.11	Professional		$239.88	$239.88	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $245.47 / $245.47	Facility		$181.97	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $245.47	Professional		$177.83	$177.83	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $316.23 / $2,089.30	Facility		$204.17	$316.23	$2,089.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $2,511.89	Professional		$151.36	$194.98	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $316.23 / $316.23	Facility		$177.83	$316.23	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $295.12	Professional		$151.36	$194.98	$295.12