Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.13 / $248.85 / $373.40	Facility		$139.13	$248.85	$373.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.13 / $233.92 / $771.71	Professional		$139.13	$233.92	$771.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $189.55 / $254.57	Professional		$129.80	$189.55	$254.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Facility		$250.00	$250.00	$250.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $199.99 / $316.74	Professional		$165.25	$199.99	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $230.43 / $345.40	Professional		$158.91	$230.43	$345.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.23 / $257.47 / $538.37	Facility		$170.23	$257.47	$538.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $163.92 / $218.38 / $2,519.00	Professional		$163.92	$218.38	$2,519.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $305.26 / $305.26 / $305.26	Professional		$305.26	$305.26	$305.26
United Facility/Professional Professional Modifier Low / Median / High Price $156.05 / $201.73 / $357.83	Professional		$156.05	$201.73	$357.83