Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $32.36	Professional		$19.05	$19.05	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.39 / $100.00	Facility		$12.02	$22.39	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $30.90	Professional		$21.88	$25.70	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $33.11 / $36.31	Facility		$24.55	$33.11	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $27.54 / $30.90	Professional		$24.55	$27.54	$30.90