Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $190.55 / $223.87	Facility		$112.20	$190.55	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $144.54	Professional		$75.86	$97.72	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $398.11	Facility		$114.82	$114.82	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $83.18 / $177.83	Professional		$45.71	$83.18	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $194.98 / $275.42	Facility		$117.49	$194.98	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $165.96	Professional		$131.83	$131.83	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $199.53 / $549.54	Facility		$100.00	$199.53	$549.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $125.89	Professional		$47.86	$69.18	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $114.82 / $138.04	Facility		$47.86	$114.82	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $134.90	Professional		$47.86	$69.18	$134.90