Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $75.86 / $87.10	Facility		$42.66	$75.86	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $74.13	Professional		$28.18	$38.02	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $158.49	Facility		$44.67	$44.67	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $29.51 / $79.43	Professional		$17.78	$29.51	$79.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $66.07 / $117.49	Facility		$61.66	$66.07	$117.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $50.12	Professional		$31.62	$44.67	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $87.10 / $162.18	Facility		$40.74	$87.10	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $42.66 / $64.57	Professional		$21.38	$42.66	$64.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $53.70 / $213.80	Facility		$38.02	$53.70	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $223.87	Professional		$19.05	$26.92	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $44.67 / $53.70	Facility		$19.05	$44.67	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $48.98	Professional		$19.05	$26.92	$48.98