Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $21.05	Facility		$19.05	$19.05	$21.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $26.31	Professional		$21.05	$21.05	$26.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Facility		$21.05	$21.05	$21.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $21.05 / $21.05	Professional		$21.05	$21.05	$21.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $39.84 / $109.76	Facility		$21.05	$39.84	$109.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.05 / $24.21	Professional		$17.89	$21.05	$24.21
United Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $21.05 / $24.35	Professional		$17.89	$21.05	$24.35