Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.03 / $17.29 / $17.29	Facility		$14.03	$17.29	$17.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.03 / $16.88 / $17.29	Professional		$14.03	$16.88	$17.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $17.94	Professional		$16.95	$16.95	$17.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $16.95 / $18.64	Facility		$16.95	$16.95	$18.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $16.95 / $16.95	Professional		$16.95	$16.95	$16.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $85.00 / $85.00	Facility		$17.29	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $20.21	Professional		$17.29	$17.29	$20.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.29 / $17.29 / $29.91	Facility		$17.29	$17.29	$29.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $17.29	Professional		$17.29	$17.29	$17.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $85.00 / $597.00	Facility		$17.80	$85.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $17.29 / $21.88	Professional		$17.29	$17.29	$21.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $13.06 / $13.06 / $13.06	Professional		$13.06	$13.06	$13.06