Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.58 / $10.58 / $19.28	Facility		$10.58	$10.58	$19.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.81 / $15.81 / $26.01	Professional		$7.81	$15.81	$26.01
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.26 / $22.26 / $22.26	Professional	25	$22.26	$22.26	$22.26
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $4.16 / $5.99 / $10.35	Professional	52	$4.16	$5.99	$10.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $15.58 / $23.79	Professional		$15.58	$15.58	$23.79
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 / $116.07	Professional		$16.43	$26.21	$116.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $21.51 / $21.51 / $21.51	Professional		$21.51	$21.51	$21.51
United Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $22.41 / $39.58	Professional		$16.30	$22.41	$39.58