Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.28 / $186.76 / $537.22	Facility		$50.28	$186.76	$537.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.81 / $83.69 / $370.00	Professional		$42.81	$83.69	$370.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.73 / $59.73 / $118.82	Professional		$59.73	$59.73	$118.82
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 $50.22 / $72.54 / $100.51	Professional		$50.22	$72.54	$100.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $92.40 / $164.90	Professional		$49.98	$92.40	$164.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $88.57 / $254.06	Facility		$44.40	$88.57	$254.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.37 / $123.80 / $621.67	Professional		$83.37	$123.80	$621.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $136.63 / $136.63 / $136.63	Professional		$136.63	$136.63	$136.63
United Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $718.00 / $1,667.00	Facility		$180.00	$718.00	$1,667.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $104.59 / $170.32	Professional		$75.93	$104.59	$170.32