Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.88 / $33.88	Facility		$21.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $72.44	Professional		$22.91	$30.20	$72.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $42.66	Professional		$33.88	$38.90	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $177.83	Facility		$51.29	$51.29	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $47.86	Professional		$28.18	$38.02	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $51.29	Professional		$30.90	$30.90	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $34.67 / $34.67	Facility		$25.12	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $34.67	Professional		$25.12	$25.12	$34.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $41.69 / $125.89	Facility		$26.30	$41.69	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $398.11	Professional		$19.05	$26.92	$398.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $50.12	Professional		$48.98	$48.98	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $39.81 / $39.81	Facility		$33.11	$39.81	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.12 / $38.02	Professional		$19.05	$25.12	$38.02