Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $44.91 / $54.62	Facility		$43.29	$44.91	$54.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $44.49 / $54.62	Professional		$43.19	$44.49	$54.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.19 / $73.42 / $155.13	Facility		$43.19	$73.42	$155.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $53.99	Professional		$43.19	$43.19	$53.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $43.19	Facility		$40.75	$40.75	$43.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $43.19 / $43.19	Professional		$43.19	$43.19	$43.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $51.83 / $216.90	Facility		$43.29	$51.83	$216.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $43.29 / $49.78	Professional		$36.79	$43.29	$49.78
United Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $43.19 / $49.97	Professional		$36.71	$43.19	$49.97