Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.99 / $35.97 / $38.97	Facility		$34.99	$35.97	$38.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $23.57 / $31.04	Professional		$18.89	$23.57	$31.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $30.12 / $45.49	Professional		$25.60	$30.12	$45.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $24.72 / $30.90	Professional		$22.01	$24.72	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.16 / $29.16 / $29.16	Professional		$29.16	$29.16	$29.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $27.06 / $45.49	Facility		$21.14	$27.06	$45.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.90 / $41.11 / $167.08	Professional		$23.90	$41.11	$167.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $52.31 / $52.31	Professional		$52.31	$52.31	$52.31
United Facility/Professional Professional Modifier Low / Median / High Price $22.24 / $31.26 / $55.63	Professional		$22.24	$31.26	$55.63