Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $109.65 / $117.49	Facility		$107.15	$109.65	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $128.82	Professional		$107.15	$107.15	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $131.83	Professional		$44.67	$109.65	$131.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $194.98	Professional		$123.03	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $107.15 / $107.15	Facility		$100.00	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $95.50 / $165.96	Facility		$66.07	$95.50	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $251.19	Professional		$54.95	$64.57	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $60.26	Facility		$51.29	$51.29	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $93.33 / $125.89	Professional		$38.02	$93.33	$125.89