Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.18 / $174.81 / $180.41	Facility		$118.18	$174.81	$180.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $170.71 / $246.21	Professional		$118.18	$170.71	$246.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $258.68 / $271.61 / $1,194.07	Facility		$258.68	$271.61	$1,194.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.87 / $156.09 / $209.28	Professional		$143.87	$156.09	$209.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $172.31	Professional		$117.99	$117.99	$172.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $118.18 / $208.47 / $1,316.67	Facility		$118.18	$208.47	$1,316.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $143.63 / $275.92	Professional		$107.54	$143.63	$275.92
United Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $195.80 / $258.68	Facility		$170.54	$195.80	$258.68
United Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $129.05 / $198.86	Professional		$107.54	$129.05	$198.86