Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $37.72 / $54.04	Facility		$23.16	$37.72	$54.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $30.37 / $56.74	Professional		$18.48	$30.37	$56.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $37.86 / $54.08	Professional		$25.78	$37.86	$54.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $56.78 / $249.63	Facility		$54.08	$56.78	$249.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $34.94 / $43.89	Professional		$25.63	$34.94	$43.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $38.79	Professional		$26.43	$26.43	$38.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $48.67 / $253.09	Facility		$25.15	$48.67	$253.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $26.98 / $65.01	Professional		$20.23	$26.98	$65.01
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $49.75 / $49.75	Professional		$49.75	$49.75	$49.75
United Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $26.98 / $41.58	Professional		$20.12	$26.98	$41.58