Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $42.90 / $42.90	Facility		$42.90	$42.90	$42.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $48.91	Professional		$42.90	$42.90	$48.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $50.47 / $50.47	Professional		$50.47	$50.47	$50.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Facility		$47.11	$47.11	$47.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.11 / $47.11 / $47.11	Professional		$47.11	$47.11	$47.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.90 / $96.07 / $216.50	Facility		$42.90	$96.07	$216.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $53.90 / $61.04	Professional		$49.46	$53.90	$61.04
United Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $52.99 / $63.09	Professional		$49.46	$52.99	$63.09