Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $49.69 / $71.31	Facility		$17.05	$49.69	$71.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $53.30 / $101.83	Professional		$46.22	$53.30	$101.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $71.18 / $103.21	Professional		$60.51	$71.18	$103.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.91 / $99.66 / $438.10	Facility		$94.91	$99.66	$438.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $54.74 / $76.81	Professional		$45.06	$54.74	$76.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $61.83	Professional		$42.34	$42.34	$61.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $76.81 / $472.21	Facility		$49.69	$76.81	$472.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.17 / $47.35 / $115.37	Professional		$37.17	$47.35	$115.37
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $110.32 / $110.32 / $110.32	Professional		$110.32	$110.32	$110.32
United Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $47.35 / $86.71	Professional		$36.14	$47.35	$86.71