Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $44.67 / $44.67	Facility		$19.05	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $53.70	Professional		$16.98	$28.18	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $158.49	Facility		$45.71	$45.71	$158.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $41.69	Professional		$22.91	$28.18	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $45.71	Professional		$27.54	$27.54	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $28.18	Professional		$20.89	$20.89	$28.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $38.02 / $213.80	Facility		$19.95	$38.02	$213.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $223.87	Professional		$15.14	$21.38	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $36.31	Facility		$19.95	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $33.11	Professional		$15.85	$21.38	$33.11