Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $54.95 / $177.83	Facility		$47.86	$54.95	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $69.18	Professional		$46.77	$47.86	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $51.29 / $165.96	Facility		$47.86	$51.29	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Professional		$47.86	$47.86	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $47.86 / $47.86	Facility		$44.67	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $53.70	Professional		$47.86	$47.86	$53.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $54.95 / $91.20	Facility		$47.86	$54.95	$91.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $213.80	Professional		$45.71	$47.86	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $64.57 / $70.79	Facility		$47.86	$64.57	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $47.86	Professional		$42.66	$47.86	$47.86