Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $100.00	Facility		$67.61	$67.61	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $83.18	Professional		$67.61	$67.61	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $128.82 / $128.82	Facility		$0.03	$128.82	$128.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $83.18	Professional		$63.10	$63.10	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $100.00 / $331.13	Facility		$67.61	$100.00	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $123.03	Professional		$67.61	$79.43	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $97.72 / $97.72	Facility		$31.62	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $85.11	Professional		$75.86	$79.43	$85.11