Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $61.66 / $87.10	Professional		$48.98	$61.66	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $77.62	Professional		$42.66	$54.95	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $95.50	Professional		$44.67	$69.18	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $123.03	Professional		$66.07	$83.18	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $123.03	Professional		$47.86	$69.18	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $72.44 / $125.89	Facility		$60.26	$72.44	$125.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $83.18 / $407.38	Professional		$10.00	$83.18	$407.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $91.20	Professional		$64.57	$91.20	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $50.12 / $56.23	Facility		$4.57	$50.12	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $70.79 / $123.03	Professional		$13.80	$70.79	$123.03