Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $220.09 / $227.14	Facility		$148.80	$220.09	$227.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $173.59 / $309.99	Professional		$148.80	$173.59	$309.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.69 / $341.97 / $1,503.39	Facility		$325.69	$341.97	$1,503.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $197.18 / $263.49	Professional		$162.75	$197.18	$263.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $148.56 / $216.96	Professional		$148.56	$148.56	$216.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.80 / $262.48 / $1,717.84	Facility		$148.80	$262.48	$1,717.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $176.86 / $347.40	Professional		$135.40	$176.86	$347.40
United Facility/Professional Professional Modifier Low / Median / High Price $127.22 / $164.15 / $250.38	Professional		$127.22	$164.15	$250.38