Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $158.26 / $163.32	Facility		$106.99	$158.26	$163.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.99 / $122.60 / $222.90	Professional		$106.99	$122.60	$222.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.19 / $245.90 / $1,081.02	Facility		$234.19	$245.90	$1,081.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.65 / $117.63 / $189.47	Professional		$115.65	$117.63	$189.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $126.98 / $126.98	Facility		$126.98	$126.98	$126.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.70 / $92.70 / $92.70	Professional		$92.70	$92.70	$92.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $106.99 / $188.73 / $1,050.89	Facility		$106.99	$188.73	$1,050.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $125.18 / $205.38	Professional		$80.05	$125.18	$205.38
United Facility/Professional Facility Modifier Low / Median / High Price $120.51 / $120.51 / $120.51	Facility		$120.51	$120.51	$120.51
United Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $116.83 / $165.84	Professional		$77.89	$116.83	$165.84