Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.53 / $136.87 / $141.25	Facility		$92.53	$136.87	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $130.74 / $192.78	Professional		$92.53	$130.74	$192.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.54 / $212.67 / $934.92	Facility		$202.54	$212.67	$934.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.44 / $144.94 / $166.58	Professional		$113.44	$144.94	$166.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.89 / $170.89 / $170.89	Facility		$170.89	$170.89	$170.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.75 / $124.75 / $182.19	Professional		$124.75	$124.75	$182.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.16 / $172.16 / $1,122.97	Facility		$94.16	$172.16	$1,122.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $112.44 / $215.87	Professional		$84.14	$112.44	$215.87
United Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $101.04 / $155.59	Professional		$84.14	$101.04	$155.59