Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.64 / $165.96 / $5,824.10	Facility		$110.64	$165.96	$5,824.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $110.64 / $192.09	Professional		$108.47	$110.64	$192.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.47 / $146.43 / $389.62	Facility		$108.47	$146.43	$389.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.01 / $137.76	Professional		$108.47	$109.01	$137.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $108.47	Facility		$102.33	$102.33	$108.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $108.47 / $138.13	Professional		$108.47	$108.47	$138.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.28 / $163.03 / $367.43	Facility		$109.28	$163.03	$367.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.28 / $115.84 / $1,698.40	Professional		$109.28	$115.84	$1,698.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $124.74 / $124.74 / $124.74	Professional		$124.74	$124.74	$124.74
United Facility/Professional Professional Modifier Low / Median / High Price $108.47 / $109.28 / $129.08	Professional		$108.47	$109.28	$129.08