Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $46.77 / $165.96	Facility		$25.70	$46.77	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $74.13	Professional		$19.95	$25.70	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $97.72	Facility		$27.54	$27.54	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.44 / $72.44	Professional		$13.80	$23.44	$72.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $63.10	Facility		$52.48	$56.23	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $154.88	Facility		$36.31	$52.48	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $28.18 / $39.81	Professional		$16.22	$28.18	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $48.98 / $131.83	Facility		$25.12	$48.98	$131.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $34.67	Professional		$11.75	$16.60	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $27.54 / $34.67	Facility		$15.14	$27.54	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $33.88	Professional		$11.75	$16.60	$33.88