Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.91 / $156.69 / $187.15	Facility		$138.91	$156.69	$187.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $124.43 / $161.94	Professional		$97.56	$124.43	$161.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.42 / $121.47 / $160.85	Professional		$86.42	$121.47	$160.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.60 / $116.60 / $116.60	Facility		$116.60	$116.60	$116.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.78 / $134.66 / $227.06	Professional		$105.78	$134.66	$227.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.05 / $162.35 / $271.75	Professional		$103.05	$162.35	$271.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.73 / $146.82 / $262.89	Facility		$111.73	$146.82	$262.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.11 / $212.96 / $794.81	Professional		$124.11	$212.96	$794.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $139.69 / $139.69 / $139.69	Professional		$139.69	$139.69	$139.69
United Facility/Professional Professional Modifier Low / Median / High Price $115.47 / $164.27 / $293.83	Professional		$115.47	$164.27	$293.83