Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $97.00 / $387.69	Facility		$67.65	$97.00	$387.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.75 / $234.85	Professional		$61.09	$87.75	$234.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.50 / $139.16 / $140.91	Professional		$105.50	$139.16	$140.91
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 $65.48 / $81.00 / $123.47	Professional		$65.48	$81.00	$123.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $109.67 / $192.00	Professional		$73.80	$109.67	$192.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.94 / $113.20 / $317.36	Facility		$61.94	$113.20	$317.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.47 / $140.81 / $723.76	Professional		$92.47	$140.81	$723.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $160.03 / $160.03	Professional		$160.03	$160.03	$160.03
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 $87.05 / $120.90 / $198.47	Professional		$87.05	$120.90	$198.47