Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.10 / $199.10 / $265.25	Facility		$199.10	$199.10	$265.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.82 / $206.34 / $314.94	Professional		$154.82	$206.34	$314.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.32 / $399.34 / $1,755.56	Facility		$380.32	$399.34	$1,755.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.40 / $183.18 / $307.70	Professional		$176.40	$183.18	$307.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.22 / $188.22 / $188.22	Facility		$188.22	$188.22	$188.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.40 / $137.40 / $193.87	Professional		$137.40	$137.40	$193.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.94 / $301.22 / $1,633.27	Facility		$167.94	$301.22	$1,633.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.50 / $189.74 / $462.29	Professional		$126.50	$189.74	$462.29
United Facility/Professional Facility Modifier Low / Median / High Price $204.62 / $204.62 / $204.62	Facility		$204.62	$204.62	$204.62
United Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $180.26 / $281.27	Professional		$125.23	$180.26	$281.27