Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $177.83	Professional		$15.85	$19.05	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $43.65	Professional		$19.95	$33.11	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.71 / $69.18	Professional		$20.89	$45.71	$69.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $22.91 / $69.18	Professional		$20.89	$22.91	$69.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.42 / $41.69	Facility		$17.38	$20.42	$41.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $257.04	Professional		$46.77	$70.79	$257.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $39.81	Professional		$22.91	$22.91	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $36.31	Facility		$25.12	$30.20	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $95.50	Professional		$42.66	$58.88	$95.50