Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.55 / $59.38	Facility		$38.90	$57.55	$59.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.52 / $44.58 / $81.05	Professional		$36.52	$44.58	$81.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.16 / $89.42 / $393.10	Facility		$85.16	$89.42	$393.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $44.58 / $68.89	Professional		$42.55	$44.58	$68.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $45.81 / $45.81	Facility		$45.81	$45.81	$45.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $33.44 / $48.83	Professional		$33.44	$33.44	$48.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $68.62 / $392.56	Facility		$38.90	$68.62	$392.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $45.51 / $73.73	Professional		$30.48	$45.51	$73.73
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $84.80 / $84.80	Professional		$84.80	$84.80	$84.80
United Facility/Professional Professional Modifier Low / Median / High Price $28.32 / $42.48 / $60.30	Professional		$28.32	$42.48	$60.30