Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $52.48 / $83.18	Facility		$30.20	$52.48	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $60.26	Professional		$19.05	$30.20	$60.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $125.89	Facility		$35.48	$35.48	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $17.38 / $42.66	Professional		$7.94	$17.38	$42.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $35.48 / $38.90	Facility		$33.11	$35.48	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $147.91	Facility		$35.48	$67.61	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $36.31 / $47.86	Professional		$15.49	$36.31	$47.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $46.77 / $169.82	Facility		$25.12	$46.77	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $38.02	Professional		$14.13	$17.78	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $35.48 / $42.66	Facility		$15.14	$35.48	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $41.69	Professional		$14.13	$17.78	$41.69