Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $125.89	Facility		$109.65	$109.65	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $251.19	Professional		$91.20	$117.49	$251.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $741.31	Facility		$213.80	$213.80	$741.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $199.53	Professional		$112.20	$125.89	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $213.80	Professional		$128.82	$128.82	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $141.25 / $141.25	Facility		$95.50	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $141.25	Professional		$102.33	$102.33	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $169.82 / $1,096.48	Facility		$109.65	$169.82	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $1,380.38	Professional		$79.43	$104.71	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $169.82 / $169.82	Facility		$97.72	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $158.49	Professional		$79.43	$104.71	$158.49