Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $184.00 / $329.00	Facility		$90.00	$184.00	$329.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $49.74 / $92.94	Facility		$29.00	$49.74	$92.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.00 / $167.50 / $265.00	Facility		$104.00	$167.50	$265.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $95.00 / $215.00	Facility		$55.00	$95.00	$215.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $89.38 / $116.34	Facility		$41.58	$89.38	$116.34