Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $208.93 / $1,318.26	Facility		$204.17	$208.93	$1,318.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $1,258.93	Professional		$204.17	$208.93	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $151.36	Professional		$97.72	$109.65	$151.36
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 $194.98 / $204.17 / $204.17	Facility		$194.98	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $239.88	Professional		$204.17	$204.17	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $1,258.93	Facility		$234.42	$346.74	$1,258.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $234.42 / $1,778.28	Professional		$223.87	$234.42	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $416.87	Facility		$354.81	$354.81	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $1,047.13	Professional		$125.89	$263.03	$1,047.13