Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.21 / $111.21 / $118.46	Facility		$111.21	$111.21	$118.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $94.66 / $130.00	Professional		$74.90	$94.66	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $76.70 / $102.06	Professional		$68.05	$76.70	$102.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.73 / $68.73 / $68.73	Facility		$68.73	$68.73	$68.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $108.40 / $154.19	Professional		$70.06	$108.40	$154.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $113.31 / $195.25	Professional		$70.00	$113.31	$195.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.76 / $111.19 / $192.56	Facility		$91.76	$111.19	$192.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.43 / $140.72 / $656.42	Professional		$92.43	$140.72	$656.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $155.57 / $155.57 / $155.57	Professional		$155.57	$155.57	$155.57
United Facility/Professional Facility Modifier Low / Median / High Price $87.00 / $87.00 / $117.67	Facility		$87.00	$87.00	$117.67
United Facility/Professional Professional Modifier Low / Median / High Price $87.18 / $116.25 / $210.99	Professional		$87.18	$116.25	$210.99