Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $128.82	Facility		$48.98	$74.13	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $223.87	Professional		$39.81	$57.54	$223.87
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $45.71 / $45.71 / $45.71	Professional	CQ	$45.71	$45.71	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $100.00	Professional		$25.12	$33.11	$100.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $109.65	Professional		$63.10	$70.79	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $89.13	Facility		$57.54	$70.79	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $54.95 / $125.89	Professional		$32.36	$54.95	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $63.10 / $154.88	Facility		$41.69	$63.10	$154.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $436.52	Professional		$41.69	$56.23	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $74.13	Facility		$67.61	$67.61	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $85.11	Professional		$41.69	$53.70	$85.11