Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.70 / $182.70 / $304.50	Facility		$182.70	$182.70	$304.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $117.21 / $160.35	Professional		$89.34	$117.21	$160.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.58 / $123.12 / $161.74	Professional		$119.58	$123.12	$161.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.72 / $119.72 / $119.72	Facility		$119.72	$119.72	$119.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.41 / $125.69 / $202.69	Professional		$97.41	$125.69	$202.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $134.00 / $228.19	Professional		$95.00	$134.00	$228.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.96 / $134.91 / $252.54	Facility		$101.96	$134.91	$252.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.17 / $184.80 / $817.07	Professional		$120.17	$184.80	$817.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $137.52 / $183.41	Professional		$137.52	$137.52	$183.41
United Facility/Professional Professional Modifier Low / Median / High Price $109.15 / $150.28 / $264.75	Professional		$109.15	$150.28	$264.75