Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $36.31 / $89.13	Facility		$25.12	$36.31	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $56.23 / $134.90	Professional		$22.91	$56.23	$134.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $41.69	Professional		$23.99	$25.12	$41.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $63.10 / $109.65	Professional		$22.91	$63.10	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $58.88 / $117.49	Professional		$23.99	$58.88	$117.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $58.88 / $109.65	Facility		$24.55	$58.88	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $478.63	Professional		$66.07	$107.15	$478.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $57.54 / $107.15	Professional		$22.91	$57.54	$107.15