Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.23 / $98.59 / $186.97	Facility		$72.23	$98.59	$186.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $66.11 / $120.83	Professional		$52.42	$66.11	$120.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.46 / $57.32 / $80.25	Professional		$42.46	$57.32	$80.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.14 / $52.14 / $52.14	Facility		$52.14	$52.14	$52.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $61.96 / $92.36	Professional		$37.71	$61.96	$92.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $70.20 / $129.21	Professional		$46.00	$70.20	$129.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $77.14 / $133.46	Facility		$65.26	$77.14	$133.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $88.06 / $488.57	Professional		$56.68	$88.06	$488.57
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $104.37 / $117.77 / $117.77	Professional		$104.37	$117.77	$117.77
United Facility/Professional Professional Modifier Low / Median / High Price $54.65 / $75.56 / $138.55	Professional		$54.65	$75.56	$138.55