Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $199.53	Professional		$162.18	$162.18	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $102.33	Professional		$95.50	$95.50	$102.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $0.03 / $0.03	Facility		$0.03	$0.03	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $190.55	Professional		$177.83	$177.83	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $218.78 / $489.78	Facility		$144.54	$218.78	$489.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $199.53	Professional		$147.91	$190.55	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $190.55	Facility		$173.78	$173.78	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $190.55 / $199.53	Professional		$165.96	$190.55	$199.53