Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.40 / $19.82 / $20.45	Facility		$13.40	$19.82	$20.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.40 / $15.35 / $27.91	Professional		$13.40	$15.35	$27.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $22.00 / $22.00	Professional		$19.64	$22.00	$22.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $30.80 / $135.38	Facility		$29.33	$30.80	$135.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $19.76 / $24.11	Professional		$14.65	$19.76	$24.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $13.46 / $19.66	Professional		$13.46	$13.46	$19.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $13.63 / $24.56 / $140.91	Facility		$13.63	$24.56	$140.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $15.80 / $25.19	Professional		$11.05	$15.80	$25.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $25.21 / $25.21	Professional		$25.21	$25.21	$25.21
United Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $14.63 / $20.60	Professional		$11.05	$14.63	$20.60