Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $216.72 / $216.72	Facility		$99.90	$216.72	$216.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $99.90 / $137.12	Professional		$97.94	$99.90	$137.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $104.80 / $452.09	Facility		$97.94	$104.80	$452.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $85.01 / $105.19	Professional		$75.87	$85.01	$105.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.40 / $92.40 / $97.94	Facility		$92.40	$92.40	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $124.73	Professional		$97.94	$97.94	$124.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $161.88 / $303.44	Facility		$107.92	$161.88	$303.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $107.92 / $784.32	Professional		$100.17	$107.92	$784.32
United Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $119.78	Professional		$97.94	$97.94	$119.78