Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.43 / $64.89 / $150.75	Facility		$25.43	$64.89	$150.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.03 / $28.10	Professional		$18.27	$25.03	$28.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $29.51 / $129.71	Facility		$28.10	$29.51	$129.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $19.01 / $42.17	Professional		$12.00	$19.01	$42.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.00 / $58.96 / $156.12	Facility		$37.00	$58.96	$156.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.29 / $28.45 / $42.10	Professional		$16.29	$28.45	$42.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.29 / $42.74 / $137.00	Facility		$25.29	$42.74	$137.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $16.86 / $34.15	Professional		$11.69	$16.86	$34.15
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $16.86 / $36.42	Professional		$11.80	$16.86	$36.42