Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $49.52 / $65.97	Facility		$49.52	$49.52	$65.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.52 / $51.32 / $78.33	Professional		$49.52	$51.32	$78.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.59 / $99.32 / $436.63	Facility		$94.59	$99.32	$436.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $55.44 / $76.56	Professional		$48.22	$55.44	$76.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Facility		$62.72	$62.72	$62.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $66.87	Professional		$45.79	$45.79	$66.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.52 / $76.56 / $490.51	Facility		$49.52	$76.56	$490.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.14 / $47.18 / $114.96	Professional		$38.14	$47.18	$114.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $90.56 / $90.56 / $90.56	Professional		$90.56	$90.56	$90.56
United Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $123.01 / $147.61	Facility		$123.01	$123.01	$147.61
United Facility/Professional Professional Modifier Low / Median / High Price $36.01 / $47.18 / $73.95	Professional		$36.01	$47.18	$73.95