Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.94 / $19.94 / $26.57	Facility		$19.94	$19.94	$26.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $20.67 / $31.55	Professional		$18.35	$20.67	$31.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $25.52 / $25.52	Professional		$25.52	$25.52	$25.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.09 / $39.99 / $175.82	Facility		$38.09	$39.99	$175.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $21.57 / $30.82	Professional		$19.04	$21.57	$30.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $23.10 / $23.10	Facility		$23.10	$23.10	$23.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $24.63	Professional		$16.86	$16.86	$24.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $19.84 / $30.84 / $190.57	Facility		$19.84	$30.84	$190.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $19.01 / $46.32	Professional		$14.76	$19.01	$46.32
United Facility/Professional Professional Modifier Low / Median / High Price $13.73 / $19.01 / $27.55	Professional		$13.73	$19.01	$27.55