Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.24 / $90.42 / $226.80	Facility		$0.24	$90.42	$226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $28.00	Professional		$0.11	$0.12	$28.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $12.00	Professional		$12.00	$12.00	$12.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.19 / $0.28	Facility		$0.12	$0.19	$0.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.14	Professional		$0.11	$0.11	$0.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.11 / $0.11 / $0.11	Facility		$0.11	$0.11	$0.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.13	Professional		$0.11	$0.11	$0.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $0.12 / $0.23 / $85.00	Facility		$0.12	$0.23	$85.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.12 / $0.19	Professional		$0.11	$0.12	$0.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $0.11 / $0.11 / $0.16	Professional		$0.11	$0.11	$0.16