Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.10 / $219.19 / $2,799.10	Facility		$101.10	$219.19	$2,799.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $101.11 / $125.69	Professional		$99.12	$101.11	$125.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.13 / $168.52 / $356.07	Facility		$99.13	$168.52	$356.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $123.91	Professional		$99.13	$99.13	$123.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $99.13 / $99.13	Facility		$93.52	$99.13	$99.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $99.13 / $99.13	Professional		$99.13	$99.13	$99.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.71 / $208.75 / $1,345.20	Facility		$103.71	$208.75	$1,345.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.97 / $109.68 / $129.63	Professional		$95.97	$109.68	$129.63
United Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $104.83 / $183.39	Professional		$99.13	$104.83	$183.39