Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $60.26 / $117.49	Facility		$19.95	$60.26	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $41.69 / $123.03	Professional		$16.98	$41.69	$123.03
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $128.82 / $131.83	Professional	25	$63.10	$128.82	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $60.26	Professional		$33.88	$43.65	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $18.20 / $47.86	Professional		$5.01	$18.20	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $45.71 / $66.07	Professional		$16.98	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $74.13	Facility		$17.38	$39.81	$74.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $269.15	Professional		$37.15	$50.12	$269.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $72.44	Professional		$69.18	$69.18	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $33.88 / $33.88	Facility		$12.30	$33.88	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $33.88 / $56.23	Professional		$17.38	$33.88	$56.23