Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $7.75 / $10.75	Facility		$5.73	$7.75	$10.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $5.73 / $19.20	Professional		$2.14	$5.73	$19.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $7.53 / $12.87	Professional		$4.00	$7.53	$12.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.70 / $9.97	Professional		$4.25	$5.70	$9.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $5.08 / $11.65	Professional		$5.08	$5.08	$11.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $5.73 / $10.75 / $24.08	Facility		$5.73	$10.75	$24.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.36 / $53.58	Professional		$3.80	$5.36	$53.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $17.25 / $17.25 / $17.25	Professional		$17.25	$17.25	$17.25
United Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $5.36 / $7.96	Professional		$3.58	$5.36	$7.96