Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $199.53	Professional		$100.00	$125.89	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $117.49 / $162.18	Professional		$89.13	$117.49	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $141.25 / $199.53	Professional		$89.13	$141.25	$199.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $173.78 / $257.04	Professional		$138.04	$173.78	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $257.04	Professional		$100.00	$162.18	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $144.54 / $251.19	Facility		$123.03	$144.54	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $831.76	Professional		$107.15	$169.82	$831.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $204.17	Professional		$162.18	$186.21	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $112.20 / $117.49	Facility		$100.00	$112.20	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $245.47	Professional		$107.15	$147.91	$245.47