Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $121.43 / $165.15	Facility		$97.14	$121.43	$165.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $97.14 / $127.50	Professional		$97.14	$97.14	$127.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.30 / $172.02 / $266.33	Facility		$110.30	$172.02	$266.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $88.85 / $118.46	Professional		$88.85	$88.85	$118.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $11.82 / $11.82	Professional		$11.82	$11.82	$11.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $118.46 / $734.60	Facility		$97.14	$118.46	$734.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.01 / $101.19 / $116.37	Professional		$86.01	$101.19	$116.37
United Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $101.19 / $121.43	Professional		$91.58	$101.19	$121.43