Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $61.66 / $112.20	Facility		$41.69	$61.66	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $33.11 / $81.28	Professional		$25.70	$33.11	$81.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $123.03	Facility		$35.48	$35.48	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $56.23	Professional		$17.38	$22.91	$56.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $35.48 / $38.90	Professional		$24.55	$35.48	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $66.07 / $194.98	Facility		$45.71	$66.07	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $46.77 / $165.96	Facility		$30.20	$46.77	$165.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $173.78	Professional		$14.79	$28.84	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $41.69 / $47.86	Facility		$12.59	$41.69	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $42.66	Professional		$14.79	$20.89	$42.66