Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $19.70 / $23.21	Facility		$18.72	$19.70	$23.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $20.45 / $29.13	Professional		$18.72	$20.45	$29.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,423.00 / $1,466.00 / $1,641.00	Facility		$1,423.00	$1,466.00	$1,641.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $31.91 / $50.03	Professional		$21.48	$31.91	$50.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.13 / $112.13 / $1,582.96	Facility		$112.13	$112.13	$1,582.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $33.92 / $58.62	Professional		$19.02	$33.92	$58.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.02 / $26.93 / $55.16	Facility		$18.02	$26.93	$55.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $30.70 / $200.00	Professional		$18.86	$30.70	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $26.55 / $47.35	Professional		$17.87	$26.55	$47.35