Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $42.66 / $158.49	Facility		$25.12	$42.66	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $72.44	Professional		$15.85	$22.91	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $21.88	Professional		$18.62	$18.62	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $77.62	Facility		$21.88	$21.88	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $18.20 / $57.54	Professional		$10.96	$18.20	$57.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $44.67 / $50.12	Facility		$41.69	$44.67	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $41.69 / $123.03	Facility		$28.84	$41.69	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $31.62	Professional		$12.88	$22.39	$31.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $41.69 / $123.03	Facility		$19.05	$41.69	$123.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $27.54	Professional		$9.33	$13.18	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.88 / $26.92	Facility		$12.02	$21.88	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $26.92	Professional		$9.33	$13.18	$26.92