Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $91.93 / $126.00	Professional		$71.70	$91.93	$126.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $73.56 / $96.69	Professional		$65.45	$73.56	$96.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $65.94 / $65.94	Facility		$65.94	$65.94	$65.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $92.79 / $139.00	Professional		$60.26	$92.79	$139.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $100.00 / $181.50	Professional		$66.00	$100.00	$181.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.02 / $103.75 / $186.19	Facility		$87.02	$103.75	$186.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $133.25 / $626.85	Professional		$84.43	$133.25	$626.85
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $149.18 / $149.18 / $149.18	Professional		$149.18	$149.18	$149.18
United Facility/Professional Facility Modifier Low / Median / High Price $84.00 / $84.00 / $112.86	Facility		$84.00	$84.00	$112.86
United Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $105.32 / $208.54	Professional		$79.78	$105.32	$208.54