Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.14 / $15.58 / $25.80	Facility		$13.14	$15.58	$25.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $14.29 / $23.43	Professional		$8.40	$14.29	$23.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.14 / $11.14 / $19.96	Professional		$11.14	$11.14	$19.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $15.29 / $27.97	Professional		$9.49	$15.29	$27.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.64 / $18.10 / $32.74	Facility		$10.64	$18.10	$32.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $8.08 / $11.54 / $106.42	Professional		$8.08	$11.54	$106.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $12.81 / $12.81	Professional		$12.81	$12.81	$12.81
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $22.95 / $22.95 / $22.95	Professional	25	$22.95	$22.95	$22.95
United Facility/Professional Professional Modifier Low / Median / High Price $8.09 / $10.62 / $23.41	Professional		$8.09	$10.62	$23.41