Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $72.36 / $178.37	Facility		$50.00	$72.36	$178.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $130.06 / $258.25	Professional		$99.75	$130.06	$258.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $93.64 / $104.32	Professional		$80.00	$93.64	$104.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.68 / $148.47 / $291.67	Professional		$104.68	$148.47	$291.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.35 / $276.16 / $386.79	Facility		$161.35	$276.16	$386.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $174.06 / $258.66	Professional		$106.02	$174.06	$258.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.92 / $175.57 / $297.35	Facility		$108.92	$175.57	$297.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $188.04 / $810.58	Professional		$132.07	$188.04	$810.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $92.00	Professional		$92.00	$92.00	$92.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.07 / $167.85 / $272.74	Professional		$132.07	$167.85	$272.74