Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $97.00 / $128.63	Facility		$80.00	$97.00	$128.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $81.68 / $117.55	Professional		$64.12	$81.68	$117.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.02 / $81.27 / $110.61	Professional		$64.02	$81.27	$110.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $79.81 / $79.81	Facility		$79.81	$79.81	$79.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $88.94 / $149.06	Professional		$70.56	$88.94	$149.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $91.00 / $153.81	Professional		$65.00	$91.00	$153.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.20 / $94.34 / $175.35	Facility		$72.20	$94.34	$175.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $131.24 / $555.30	Professional		$82.07	$131.24	$555.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $123.65 / $123.65	Professional		$123.65	$123.65	$123.65
United Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $103.21 / $185.69	Professional		$75.40	$103.21	$185.69