Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Professional		$52.00	$52.00	$52.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.70 / $42.70 / $42.70	Professional		$42.70	$42.70	$42.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $64.05 / $281.58	Facility		$61.00	$64.05	$281.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $54.04 / $65.50	Professional		$45.00	$54.04	$65.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Professional		$21.25	$21.25	$21.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $70.70 / $126.36	Facility		$52.00	$70.70	$126.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $35.53 / $303.77	Professional		$23.69	$35.53	$303.77
United Facility/Professional Facility Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Facility		$48.80	$48.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $35.53 / $59.22	Professional		$23.69	$35.53	$59.22