Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $416.87 / $691.83	Facility		$45.71	$416.87	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $75.86	Professional		$19.05	$36.31	$75.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	25	$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $30.20	Professional		$16.98	$22.39	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $30.20 / $43.65	Professional		$21.88	$30.20	$43.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $54.95	Professional		$26.30	$33.88	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.88 / $54.95	Professional		$19.05	$33.88	$54.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.90 / $53.70	Facility		$23.44	$30.90	$53.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $40.74 / $407.38	Professional		$27.54	$40.74	$407.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $45.71	Professional		$30.20	$38.90	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $53.70	Facility		$39.81	$40.74	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $52.48	Professional		$23.99	$36.31	$52.48