Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $114.82 / $131.83	Facility		$66.07	$114.82	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $107.15	Professional		$40.74	$57.54	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $239.88	Facility		$69.18	$69.18	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $109.65	Professional		$27.54	$38.90	$109.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $85.11 / $154.88	Facility		$83.18	$85.11	$154.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $100.00	Professional		$47.86	$58.88	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $131.83 / $245.47	Facility		$41.69	$131.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $64.57 / $100.00	Professional		$29.51	$64.57	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $83.18 / $323.59	Facility		$58.88	$83.18	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $40.74 / $338.84	Professional		$28.84	$40.74	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $69.18 / $83.18	Facility		$25.12	$69.18	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $74.13	Professional		$28.84	$38.02	$74.13