Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $14.99 / $27.85	Professional		$7.77	$14.99	$27.85
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $12.53 / $12.53 / $12.53	Professional	25	$12.53	$12.53	$12.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $16.61 / $16.61	Professional		$15.58	$16.61	$16.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $13.80 / $20.79	Professional		$9.02	$13.80	$20.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.77 / $15.77 / $15.77	Professional		$15.77	$15.77	$15.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $8.82 / $17.39 / $33.33	Facility		$8.82	$17.39	$33.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $16.43 / $26.21 / $118.24	Professional		$16.43	$26.21	$118.24
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $26.45 / $26.45 / $26.45	Professional		$26.45	$26.45	$26.45
United Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $22.41 / $38.11	Professional		$16.30	$22.41	$38.11