Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $54.95	Facility		$30.20	$38.02	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $52.48	Professional		$30.20	$30.90	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Professional		$14.13	$14.13	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $32.36 / $104.71	Facility		$30.20	$32.36	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $35.48	Professional		$33.88	$33.88	$35.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.02 / $134.90	Facility		$31.62	$38.02	$134.90
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $41.69	Professional		$30.90	$36.31	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $32.36 / $36.31	Facility		$31.62	$32.36	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $40.74	Professional		$33.88	$36.31	$40.74