Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $28.04 / $37.36	Facility		$28.04	$28.04	$37.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $30.08 / $44.35	Professional		$28.04	$30.08	$44.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $40.17	Professional		$35.89	$35.89	$40.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.56 / $56.24 / $247.23	Facility		$53.56	$56.24	$247.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.59 / $32.25 / $43.37	Professional		$29.59	$32.25	$43.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $41.75	Professional		$28.59	$28.59	$41.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.04 / $43.35 / $295.50	Facility		$28.04	$43.35	$295.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $26.72 / $65.11	Professional		$22.14	$26.72	$65.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $65.70 / $65.70	Professional		$65.70	$65.70	$65.70
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $26.72 / $53.67	Professional		$20.92	$26.72	$53.67