Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $158.49 / $5,888.44	Facility		$104.71	$158.49	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $107.15 / $1,737.80	Professional		$104.71	$107.15	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $363.08	Facility		$104.71	$112.20	$363.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $109.65 / $173.78	Professional		$104.71	$109.65	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $104.71	Facility		$97.72	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $117.49	Professional		$104.71	$104.71	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $354.81	Facility		$109.65	$151.36	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $1,698.24	Professional		$109.65	$114.82	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $181.97 / $199.53	Facility		$109.65	$181.97	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $109.65 / $158.49	Professional		$100.00	$109.65	$158.49