Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $102.33 / $120.23	Facility		$58.88	$102.33	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $102.33	Professional		$40.74	$52.48	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $213.80	Facility		$61.66	$61.66	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $109.65	Professional		$24.55	$40.74	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $91.20 / $158.49	Facility		$85.11	$91.20	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $69.18	Professional		$42.66	$61.66	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $117.49 / $177.83	Facility		$44.67	$117.49	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $89.13	Professional		$28.84	$58.88	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $74.13 / $295.12	Facility		$53.70	$74.13	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $309.03	Professional		$25.70	$37.15	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $61.66 / $74.13	Facility		$25.70	$61.66	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $67.61	Professional		$25.70	$37.15	$67.61