Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $54.04 / $54.04	Facility		$23.16	$54.04	$54.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $30.37 / $57.13	Professional		$23.16	$30.37	$57.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.24 / $40.56 / $54.08	Professional		$36.24	$40.56	$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 $26.74 / $26.74 / $47.35	Professional		$26.74	$26.74	$47.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $35.60	Facility		$35.60	$35.60	$35.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $25.99 / $38.13	Professional		$25.99	$25.99	$38.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $33.14 / $54.04 / $253.09	Facility		$33.14	$54.04	$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 $19.01 / $26.98 / $44.09	Professional		$19.01	$26.98	$44.09