Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $346.74	Facility		$302.00	$302.00	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $588.84	Professional		$245.47	$316.23	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $2,089.30	Facility		$588.84	$588.84	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $331.13 / $575.44	Professional		$309.03	$331.13	$575.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $588.84	Professional		$354.81	$354.81	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $323.59	Professional		$239.88	$239.88	$323.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $457.09 / $1,288.25	Facility		$100.00	$457.09	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $2,951.21	Professional		$218.78	$288.40	$2,951.21
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $467.74 / $549.54	Facility		$245.47	$467.74	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $446.68	Professional		$204.17	$281.84	$446.68