Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Facility		$5.00	$5.00	$5.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $111.13 / $111.13	Professional		$14.33	$111.13	$111.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.55 / $22.55 / $22.55	Facility		$22.55	$22.55	$22.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.17 / $19.17 / $22.55	Professional		$19.17	$19.17	$22.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $5.00 / $90.00	Facility		$5.00	$5.00	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1.49 / $5.00 / $5.00	Professional		$1.49	$5.00	$5.00