Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $97.72 / $112.20	Facility		$56.23	$97.72	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $97.72	Professional		$42.66	$53.70	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $204.17	Facility		$57.54	$57.54	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $151.36	Professional		$28.84	$50.12	$151.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $117.49 / $131.83	Facility		$109.65	$117.49	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $67.61 / $83.18	Professional		$66.07	$67.61	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $100.00 / $537.03	Facility		$52.48	$100.00	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $70.79	Professional		$24.55	$36.31	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $57.54 / $70.79	Facility		$31.62	$57.54	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $70.79	Professional		$24.55	$34.67	$70.79