Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $14.39 / $28.06	Facility		$14.39	$14.39	$28.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.39 / $14.39 / $14.39	Professional		$14.39	$14.39	$14.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $2.69 / $6.57	Facility		$1.83	$2.69	$6.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.39 / $50.00	Professional		$1.79	$2.39	$50.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.02 / $2.39	Facility		$2.02	$2.02	$2.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.02	Professional		$2.02	$2.02	$2.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.39 / $16.55 / $38.57	Facility		$14.39	$16.55	$38.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $9.08 / $9.08	Professional		$9.08	$9.08	$9.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04