Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $33.88	Facility		$28.84	$28.84	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $33.88	Professional		$15.85	$28.84	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $125.89	Facility		$36.31	$36.31	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $35.48	Professional		$15.49	$19.05	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $41.69	Professional		$16.22	$16.22	$41.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $57.54 / $169.82	Facility		$18.20	$57.54	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.91 / $41.69	Professional		$13.80	$22.91	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $36.31	Facility		$28.84	$28.84	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $23.44 / $43.65	Professional		$13.80	$23.44	$43.65