Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.24 / $73.00 / $125.98	Facility		$47.24	$73.00	$125.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $52.67 / $56.50	Professional		$35.29	$52.67	$56.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $57.02 / $250.65	Facility		$54.30	$57.02	$250.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $33.11 / $100.06	Professional		$15.35	$33.11	$100.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.10 / $113.91 / $194.74	Facility		$49.10	$113.91	$194.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $62.36 / $77.95	Professional		$51.62	$62.36	$77.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $87.50 / $257.93	Facility		$48.87	$87.50	$257.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.58 / $61.36	Professional		$22.81	$32.58	$61.36
United Facility/Professional Facility Modifier Low / Median / High Price $48.87 / $48.87 / $65.16	Facility		$48.87	$48.87	$65.16
United Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $32.58 / $65.16	Professional		$22.81	$32.58	$65.16