Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $112.20 / $218.78	Facility		$30.90	$112.20	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $61.66 / $100.00	Professional		$25.12	$61.66	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,479.11	Facility		$1,318.26	$1,412.54	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $58.88 / $95.50	Professional		$25.70	$58.88	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $93.33 / $151.36	Professional		$25.70	$93.33	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $72.44 / $128.82	Professional		$28.18	$72.44	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $67.61 / $138.04	Facility		$26.92	$67.61	$138.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $102.33 / $467.74	Professional		$70.79	$102.33	$467.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $380.19	Facility		$309.03	$309.03	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $61.66 / $112.20	Professional		$26.30	$61.66	$112.20