Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $25.27 / $36.21	Facility		$15.52	$25.27	$36.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.35 / $38.28	Professional		$11.75	$20.35	$38.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.28 / $24.28	Professional		$24.28	$24.28	$24.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.24 / $38.04 / $167.28	Facility		$36.24	$38.04	$167.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $24.17 / $29.80	Professional		$18.11	$24.17	$29.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $24.26 / $24.26	Facility		$24.26	$24.26	$24.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $17.71 / $25.99	Professional		$17.71	$17.71	$25.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $32.61 / $169.60	Facility		$16.85	$32.61	$169.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $13.56 / $18.07 / $43.57	Professional		$13.56	$18.07	$43.57
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $33.34 / $33.34	Professional		$33.34	$33.34	$33.34
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.07 / $27.86	Professional		$13.49	$18.07	$27.86