Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.03 / $293.31 / $379.90	Facility		$63.03	$293.31	$379.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $63.03 / $75.31	Professional		$61.79	$63.03	$75.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.80 / $105.06 / $221.99	Facility		$61.80	$105.06	$221.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $77.25	Professional		$61.80	$61.80	$77.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $61.80	Facility		$55.28	$55.28	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $61.80 / $61.80	Professional		$61.80	$61.80	$61.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $203.31 / $747.02	Facility		$62.15	$203.31	$747.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $62.15 / $77.50	Professional		$52.83	$62.15	$77.50
United Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $61.80 / $85.57	Professional		$58.71	$61.80	$85.57