Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.88 / $64.57	Facility		$22.91	$33.88	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $58.88	Professional		$22.91	$36.31	$58.88
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $7.76 / $36.31 / $37.15	Professional	25	$7.76	$36.31	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $40.74	Professional		$30.90	$36.31	$40.74
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $41.69 / $41.69 / $41.69	Professional	25	$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $64.57	Professional		$34.67	$43.65	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $57.54 / $75.86	Professional		$36.31	$57.54	$75.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $85.11 / $181.97	Facility		$36.31	$85.11	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $72.44	Professional		$37.15	$44.67	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $38.90	Facility		$28.18	$28.18	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $69.18	Professional		$36.31	$44.67	$69.18