Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.68 / $46.43 / $49.82	Facility		$35.68	$46.43	$49.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $33.52 / $80.67	Professional		$24.37	$33.52	$80.67
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $41.32 / $41.32 / $41.32	Professional	25	$41.32	$41.32	$41.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $41.99 / $49.40	Professional		$36.00	$41.99	$49.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $40.17 / $59.89	Professional		$29.60	$40.17	$59.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $46.84 / $75.23	Professional		$32.65	$46.84	$75.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $36.46 / $62.30	Facility		$23.49	$36.46	$62.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $53.72 / $251.93	Professional		$36.72	$53.72	$251.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $47.46 / $59.95	Professional		$47.46	$47.46	$59.95
United Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $44.34 / $66.78	Professional		$33.96	$44.34	$66.78