Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.41 / $146.47 / $690.20	Facility		$71.41	$146.47	$690.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $97.65 / $356.90	Professional		$62.56	$97.65	$356.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $84.79 / $139.61	Professional		$84.79	$84.79	$139.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,247.00 / $9,663.00	Facility		$2,088.00	$4,247.00	$9,663.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.72 / $83.00 / $127.05	Professional		$66.72	$83.00	$127.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.88 / $112.18 / $195.05	Professional		$74.88	$112.18	$195.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $114.70 / $320.16	Facility		$62.36	$114.70	$320.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.81 / $142.31 / $730.00	Professional		$93.81	$142.31	$730.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $160.55 / $160.55	Professional		$160.55	$160.55	$160.55
United Facility/Professional Facility Modifier Low / Median / High Price $245.00 / $815.00 / $1,351.00	Facility		$245.00	$815.00	$1,351.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $116.93 / $199.95	Professional		$87.70	$116.93	$199.95