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 $38.02 / $48.98 / $112.20	Professional		$38.02	$48.98	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $204.17	Facility		$58.88	$58.88	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $54.95 / $112.20	Professional		$23.44	$54.95	$112.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $91.20 / $104.71	Facility		$87.10	$91.20	$104.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $109.65	Professional		$40.74	$58.88	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $109.65 / $239.88	Facility		$56.23	$109.65	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $162.18	Professional		$25.70	$50.12	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $74.13 / $275.42	Facility		$51.29	$74.13	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $36.31 / $363.08	Professional		$24.55	$36.31	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $58.88 / $70.79	Facility		$24.55	$58.88	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $64.57	Professional		$24.55	$35.48	$64.57