Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.81 / $17.47 / $18.04	Facility		$11.81	$17.47	$18.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.54 / $24.61	Professional		$11.81	$13.54	$24.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $19.39	Professional		$17.32	$17.32	$19.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.86 / $27.15 / $119.37	Facility		$25.86	$27.15	$119.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $17.98 / $21.27	Professional		$12.92	$17.98	$21.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Professional		$11.89	$11.89	$11.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.66 / $125.14	Facility		$12.02	$21.66	$125.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $13.98 / $24.59	Professional		$9.71	$13.98	$24.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
United Facility/Professional Facility Modifier Low / Median / High Price $31.12 / $31.12 / $37.34	Facility		$31.12	$31.12	$37.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.90 / $18.46	Professional		$9.71	$12.90	$18.46