Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $42.66 / $83.18	Facility		$10.00	$42.66	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $87.10	Professional		$12.88	$18.20	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $7,079.46 / $8,709.64	Facility		$6,918.31	$7,079.46	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $17.78 / $162.18	Professional		$13.49	$17.78	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $63.10	Facility		$21.38	$28.18	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $109.65	Professional		$18.62	$22.91	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $33.11 / $138.04	Professional		$15.49	$33.11	$138.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $30.20 / $288.40	Facility		$15.85	$30.20	$288.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $28.84 / $645.65	Professional		$13.18	$28.84	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $30.20 / $38.02	Facility		$12.88	$30.20	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $102.33	Professional		$13.80	$21.38	$102.33