Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $72.13 / $105.38	Facility		$69.88	$72.13	$105.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $43.78 / $71.45	Professional		$28.51	$43.78	$71.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $81.63 / $81.63	Professional		$59.88	$81.63	$81.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $45.23 / $79.51	Professional		$29.13	$45.23	$79.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $66.84 / $113.54	Professional		$43.31	$66.84	$113.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $48.08 / $80.68	Facility		$32.11	$48.08	$80.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.98 / $87.74 / $393.91	Professional		$56.98	$87.74	$393.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $68.86 / $68.86	Professional		$68.86	$68.86	$68.86
United Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $66.76 / $101.84	Professional		$43.99	$66.76	$101.84