Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $43.21 / $44.60	Facility		$29.21	$43.21	$44.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $33.47 / $60.86	Professional		$28.59	$33.47	$60.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.94 / $67.14 / $295.14	Facility		$63.94	$67.14	$295.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $35.13 / $51.73	Professional		$31.21	$35.13	$51.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.36 / $37.36 / $37.36	Facility		$37.36	$37.36	$37.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $27.27 / $39.83	Professional		$27.27	$27.27	$39.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.21 / $51.53 / $305.37	Facility		$29.21	$51.53	$305.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $34.18 / $57.66	Professional		$24.02	$34.18	$57.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $59.44 / $59.44 / $59.44	Professional		$59.44	$59.44	$59.44
United Facility/Professional Professional Modifier Low / Median / High Price $24.02 / $32.14 / $45.28	Professional		$24.02	$32.14	$45.28