Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.41 / $220.21 / $278.92	Facility		$152.41	$220.21	$278.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $166.38 / $251.54	Professional		$128.75	$166.38	$251.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $172.37 / $172.37 / $172.37	Professional	25	$172.37	$172.37	$172.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.12 / $168.23 / $243.49	Professional		$126.12	$168.23	$243.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.83 / $180.83 / $180.83	Facility		$180.83	$180.83	$180.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $140.97 / $227.96	Professional		$81.61	$140.97	$227.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $179.66 / $330.56	Professional		$77.00	$179.66	$330.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.78 / $195.75 / $345.18	Facility		$159.78	$195.75	$345.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $206.38 / $1,234.10	Professional		$125.93	$206.38	$1,234.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $245.03 / $319.08	Professional		$184.18	$245.03	$319.08
United Facility/Professional Professional Modifier Low / Median / High Price $118.82 / $177.47 / $338.86	Professional		$118.82	$177.47	$338.86