Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $213.80 / $251.19	Facility		$208.93	$213.80	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $691.83	Professional		$186.21	$218.78	$691.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $309.03	Professional		$158.49	$229.09	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $338.84	Professional		$181.97	$218.78	$338.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $234.42 / $338.84	Professional		$186.21	$234.42	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $288.40 / $446.68	Professional		$204.17	$288.40	$446.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $234.42 / $501.19	Facility		$190.55	$234.42	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $2,511.89	Professional		$199.53	$309.03	$2,511.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $398.11	Professional		$186.21	$245.47	$398.11