Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $47.86	Facility		$32.36	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $169.82	Professional		$30.20	$38.02	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $257.04	Facility		$74.13	$74.13	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $67.61	Professional		$38.02	$44.67	$67.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $74.13	Professional		$43.65	$43.65	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $46.77 / $46.77	Facility		$33.11	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $46.77	Professional		$33.88	$33.88	$46.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $57.54 / $162.18	Facility		$36.31	$57.54	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $363.08	Professional		$26.92	$36.31	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $57.54 / $69.18	Facility		$42.66	$57.54	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $51.29	Professional		$25.12	$36.31	$51.29