Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $16.46 / $218.98	Facility		$14.37	$16.46	$218.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.16 / $14.89 / $21.42	Professional		$14.16	$14.89	$21.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $28.81 / $126.66	Facility		$27.44	$28.81	$126.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.56 / $22.22	Professional		$13.64	$14.56	$22.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Facility		$18.45	$18.45	$18.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $19.67	Professional		$13.47	$13.47	$19.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $22.21 / $128.41	Facility		$13.74	$22.21	$128.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $13.69 / $33.35	Professional		$10.18	$13.69	$33.35
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $25.50 / $25.50	Professional		$25.50	$25.50	$25.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $13.69 / $21.82	Professional		$10.18	$13.69	$21.82