Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $95.50 / $676.08	Facility		$20.42	$95.50	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $114.82	Professional		$19.95	$23.99	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $20.42	Professional		$17.38	$17.38	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $35.48 / $54.95	Facility		$22.39	$35.48	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $33.11	Professional		$20.42	$25.12	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Facility		$19.50	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $21.38	Professional		$20.42	$20.42	$21.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $85.11 / $147.91	Facility		$29.51	$85.11	$147.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $33.88	Professional		$23.99	$28.18	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $44.67 / $52.48	Facility		$33.11	$44.67	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.42 / $33.11	Professional		$18.62	$20.42	$33.11