Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $87.77 / $116.93	Facility		$87.77	$87.77	$116.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.92 / $90.96 / $138.83	Professional		$79.92	$90.96	$138.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.66 / $176.04 / $773.92	Facility		$167.66	$176.04	$773.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $135.63	Professional		$81.20	$81.20	$135.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $89.26	Professional		$63.26	$63.26	$89.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.33 / $135.12 / $735.04	Facility		$77.33	$135.12	$735.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.33 / $83.65 / $203.80	Professional		$57.33	$83.65	$203.80
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $80.72 / $123.99	Professional		$55.76	$80.72	$123.99