Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $41.69 / $63.10	Facility		$4.90	$41.69	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $56.23 / $199.53	Professional		$34.67	$56.23	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $100.00	Professional		$50.12	$67.61	$100.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $245.47	Facility		$69.18	$69.18	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $95.50	Professional		$48.98	$60.26	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $67.61	Professional		$48.98	$48.98	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $64.57 / $338.84	Facility		$41.69	$64.57	$338.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $616.60	Professional		$33.88	$51.29	$616.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $81.28	Professional		$79.43	$79.43	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $53.70 / $75.86	Facility		$45.71	$53.70	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $48.98 / $72.44	Professional		$33.88	$48.98	$72.44