Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Facility		$25.00	$25.00	$25.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $6.25	Professional		$6.25	$6.25	$6.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $26.86 / $26.86	Professional		$22.00	$26.86	$26.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $7.65 / $7.65	Professional		$7.65	$7.65	$7.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $28.75 / $90.00	Facility		$25.00	$28.75	$90.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $94.50	Professional		$25.00	$25.00	$94.50