Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $402.00 / $655.00	Facility		$41.20	$402.00	$655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.44 / $23.84 / $51.89	Professional		$18.44	$23.84	$51.89
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.00 / $96.00 / $96.00	Professional	25	$96.00	$96.00	$96.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.28 / $20.41 / $28.12	Professional		$16.28	$20.41	$28.12
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 $22.00 / $29.74 / $44.94	Professional		$22.00	$29.74	$44.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $34.00 / $55.00	Professional		$20.00	$34.00	$55.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $30.29 / $53.56	Facility		$23.44	$30.29	$53.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $42.80 / $408.25	Professional		$27.43	$42.80	$408.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $41.80 / $41.80	Professional		$41.80	$41.80	$41.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $40.00 / $58.15	Professional		$25.66	$40.00	$58.15