Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $173.78 / $234.42	Facility		$144.54	$173.78	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $144.54 / $331.13	Professional		$100.00	$144.54	$331.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $446.68 / $446.68 / $446.68	Professional	25	$446.68	$446.68	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $165.96	Professional		$95.50	$120.23	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $194.98	Professional		$95.50	$138.04	$194.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $269.15	Professional		$141.25	$181.97	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $138.04 / $239.88	Professional		$72.44	$138.04	$239.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $151.36 / $263.03	Facility		$125.89	$151.36	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $851.14	Professional		$109.65	$154.88	$851.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $229.09	Professional		$186.21	$208.93	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $112.20 / $165.96	Facility		$104.71	$112.20	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $144.54 / $223.87	Professional		$104.71	$144.54	$223.87