Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $114.82 / $1,023.29	Facility		$112.20	$114.82	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Professional		$112.20	$112.20	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $112.20 / $467.74	Professional		$97.72	$112.20	$467.74
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 $107.15 / $112.20 / $112.20	Facility		$107.15	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $131.83	Professional		$112.20	$112.20	$131.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $186.21 / $977.24	Facility		$128.82	$186.21	$977.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $128.82 / $1,202.26	Professional		$123.03	$128.82	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $281.84	Facility		$239.88	$239.88	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $812.83	Professional		$125.89	$177.83	$812.83