Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.64 / $348.40 / $650.76	Facility		$58.64	$348.40	$650.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.89 / $80.41 / $314.19	Professional		$53.89	$80.41	$314.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $87.96 / $117.21	Professional		$70.45	$87.96	$117.21
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 $59.66 / $77.98 / $114.00	Professional		$59.66	$77.98	$114.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $533.00 / $600.00	Facility		$520.00	$533.00	$600.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $97.25 / $164.56	Professional		$65.84	$97.25	$164.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $96.49 / $275.80	Facility		$55.00	$96.49	$275.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $122.55 / $605.52	Professional		$81.56	$122.55	$605.52
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $133.63 / $133.63	Professional		$133.63	$133.63	$133.63
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 $74.08 / $102.36 / $167.55	Professional		$74.08	$102.36	$167.55