Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Facility		$130.00	$130.00	$130.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Professional		$130.00	$130.00	$130.00
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 $137.80 / $144.69 / $232.90	Professional		$137.80	$144.69	$232.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Facility		$137.80	$137.80	$137.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $137.80 / $137.80	Professional		$137.80	$137.80	$137.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $211.41 / $582.30	Facility		$130.00	$211.41	$582.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $332.96 / $336.29	Professional		$283.02	$332.96	$336.29
United Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $332.96 / $382.90	Professional		$283.02	$332.96	$382.90