Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.60 / $54.95	Facility		$14.13	$16.60	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $19.05	Professional		$14.13	$14.13	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $15.14 / $50.12	Facility		$14.13	$15.14	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.45 / $17.78	Professional		$14.13	$14.45	$17.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $14.13 / $14.13	Facility		$13.49	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $16.22	Professional		$14.13	$14.13	$16.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.60 / $27.54	Facility		$14.13	$16.60	$27.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.79 / $61.66	Professional		$13.49	$14.79	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $18.62	Facility		$14.13	$16.98	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $16.22	Professional		$12.88	$14.13	$16.22