Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $77.62 / $93.33	Facility		$41.69	$77.62	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $79.43	Professional		$30.20	$40.74	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $169.82	Facility		$47.86	$47.86	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $44.67 / $85.11	Professional		$19.50	$44.67	$85.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $63.10	Facility		$53.70	$54.95	$63.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $66.07	Professional		$33.88	$47.86	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $91.20 / $194.98	Facility		$46.77	$91.20	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $41.69 / $162.18	Professional		$21.38	$41.69	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $229.09	Facility		$41.69	$63.10	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $29.51 / $288.40	Professional		$20.42	$29.51	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $47.86 / $57.54	Facility		$19.95	$47.86	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $54.95	Professional		$20.42	$28.84	$54.95