Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $93.75	Professional		$79.50	$79.50	$93.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Facility		$79.50	$79.50	$79.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $79.50	Professional		$79.50	$79.50	$79.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $141.37 / $389.38	Facility		$75.00	$141.37	$389.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $90.69 / $91.60	Professional		$77.09	$90.69	$91.60
United Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $90.69 / $91.60	Professional		$77.09	$90.69	$91.60