Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $27.16 / $290.83	Facility		$23.63	$27.16	$290.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.36 / $28.64	Professional		$23.65	$24.36	$28.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $40.21 / $84.95	Facility		$23.65	$40.21	$84.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $29.56	Professional		$23.65	$23.65	$29.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $23.65	Facility		$22.31	$22.31	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $27.34 / $115.65	Facility		$23.63	$27.34	$115.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $23.63 / $27.17	Professional		$20.09	$23.63	$27.17
United Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Facility		$23.65	$23.65	$23.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $23.65 / $27.28	Professional		$20.10	$23.65	$27.28