Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $50.12 / $57.54	Facility		$28.84	$50.12	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $50.12	Professional		$19.05	$25.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $104.71	Facility		$30.20	$30.20	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $27.54 / $52.48	Professional		$11.48	$27.54	$52.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $22.91 / $26.30	Facility		$21.88	$22.91	$26.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $30.90	Professional		$20.89	$27.54	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $56.23 / $112.20	Facility		$26.30	$56.23	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $81.28	Professional		$12.88	$25.70	$81.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $36.31 / $141.25	Facility		$26.30	$36.31	$141.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.20 / $208.93	Professional		$12.59	$18.20	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $30.20 / $36.31	Facility		$11.48	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.38 / $33.11	Professional		$12.59	$17.38	$33.11