Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $251.19	Professional		$83.18	$109.65	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $112.20 / $154.88	Professional		$91.20	$112.20	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $100.00 / $158.49	Professional		$61.66	$100.00	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $147.91 / $218.78	Professional		$117.49	$147.91	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $134.90 / $229.09	Professional		$97.72	$134.90	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $123.03 / $208.93	Facility		$100.00	$123.03	$208.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $741.31	Professional		$95.50	$144.54	$741.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $199.53	Professional		$154.88	$169.82	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $199.53	Professional		$89.13	$125.89	$199.53