Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $87.10 / $223.87	Facility		$50.12	$87.10	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $154.88 / $478.63	Professional		$102.33	$154.88	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $125.89	Professional		$85.11	$123.03	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $263.03	Professional		$134.90	$165.96	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $36.31 / $64.57	Facility		$33.88	$36.31	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $147.91	Professional		$64.57	$75.86	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $346.74 / $489.78	Facility		$177.83	$346.74	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $181.97 / $302.00	Professional		$114.82	$181.97	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $186.21 / $371.54	Facility		$138.04	$186.21	$371.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $1,023.29	Professional		$141.25	$199.53	$1,023.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $239.88	Professional		$208.93	$208.93	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $144.54 / $213.80	Facility		$93.33	$144.54	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $309.03	Professional		$141.25	$181.97	$309.03