Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $196.24 / $196.24	Facility		$17.14	$196.24	$196.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $34.64 / $49.10	Professional		$26.68	$34.64	$49.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $33.64 / $43.25	Professional		$30.38	$33.64	$43.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.49 / $31.49 / $31.49	Facility		$31.49	$31.49	$31.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $35.72 / $58.54	Professional		$27.38	$35.72	$58.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.00 / $59.90	Professional		$25.00	$39.00	$59.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $40.40 / $69.42	Facility		$29.71	$40.40	$69.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $46.30 / $220.76	Professional		$32.52	$46.30	$220.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.27 / $33.27 / $44.75	Professional		$33.27	$33.27	$44.75
United Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $42.80 / $69.87	Professional		$31.58	$42.80	$69.87