Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $18.48 / $4,338.42	Facility		$10.75	$18.48	$4,338.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.75 / $18.48	Professional		$10.54	$10.75	$18.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Professional		$12.12	$12.12	$12.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $14.23 / $37.86	Facility		$10.54	$14.23	$37.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.59 / $13.39	Professional		$10.54	$10.59	$13.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.94 / $9.94 / $10.54	Facility		$9.94	$9.94	$10.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.43	Professional		$10.54	$10.54	$13.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $16.07 / $22.99	Facility		$12.12	$16.07	$22.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.85 / $1,253.85	Professional		$12.12	$12.85	$1,253.85
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Professional		$12.12	$12.12	$12.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.14 / $14.71	Professional		$10.54	$11.14	$14.71