Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.55 / $208.02 / $277.23	Facility		$147.55	$208.02	$277.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $148.66 / $260.85	Professional		$113.45	$148.66	$260.85
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $174.45 / $174.45 / $174.45	Professional	52	$174.45	$174.45	$174.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $123.36 / $191.90	Professional		$94.52	$123.36	$191.90
Ambetter Facility/Professional Professional Modifier 52 Low / Median / High Price $140.02 / $140.02 / $140.02	Professional	52	$140.02	$140.02	$140.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.65 / $120.65 / $120.65	Facility		$120.65	$120.65	$120.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $122.25 / $205.23	Professional		$76.50	$122.25	$205.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $157.00 / $271.98	Professional		$95.50	$157.00	$271.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.13 / $174.90 / $307.68	Facility		$142.13	$174.90	$307.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $121.07 / $191.35 / $1,103.45	Professional		$121.07	$191.35	$1,103.45
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $230.00 / $248.12 / $283.66	Professional		$230.00	$248.12	$283.66
United Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $164.67 / $286.80	Professional		$109.08	$164.67	$286.80