Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $90.32 / $116.99	Facility		$27.30	$90.32	$116.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $27.04 / $36.40	Professional		$26.51	$27.04	$36.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.51 / $35.79 / $95.22	Facility		$26.51	$35.79	$95.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.75 / $33.67	Professional		$26.51	$26.75	$33.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.83 / $26.51 / $27.27	Facility		$20.83	$26.51	$27.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $26.51 / $28.12	Professional		$26.51	$26.51	$28.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $41.88 / $86.02	Facility		$29.92	$41.88	$86.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $31.72 / $253.17	Professional		$29.92	$31.72	$253.17
United Facility/Professional Professional Modifier Low / Median / High Price $26.51 / $28.10 / $37.01	Professional		$26.51	$28.10	$37.01