Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.00 / $629.05 / $629.05	Facility		$588.00	$629.05	$629.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.51 / $127.29 / $187.56	Professional		$116.51	$127.29	$187.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.08 / $105.08 / $115.66	Professional		$105.08	$105.08	$115.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $141.87 / $226.70	Professional		$114.24	$141.87	$226.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $200.00 / $510.00	Facility		$150.00	$200.00	$510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.78 / $157.97 / $266.94	Professional		$114.78	$157.97	$266.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.79 / $165.07 / $294.55	Facility		$115.79	$165.07	$294.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $162.38 / $1,165.68	Professional		$108.90	$162.38	$1,165.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $136.85 / $136.85	Professional		$136.85	$136.85	$136.85
United Facility/Professional Professional Modifier Low / Median / High Price $100.02 / $144.19 / $249.49	Professional		$100.02	$144.19	$249.49