Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $127.65 / $157.07	Facility		$127.65	$127.65	$157.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $127.65 / $127.65	Professional		$127.65	$127.65	$127.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Facility		$0.02	$0.02	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Facility		$63.43	$63.43	$63.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.43 / $63.43 / $63.43	Professional		$63.43	$63.43	$63.43
United Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $125.15 / $125.15	Professional		$91.97	$125.15	$125.15
Well Sense Facility/Professional Professional Modifier Low / Median / High Price $127.65 / $140.41 / $178.71	Professional		$127.65	$140.41	$178.71