Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $80.00 / $80.00	Facility		$51.10	$80.00	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.95 / $88.90 / $129.00	Professional		$64.95	$88.90	$129.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.61 / $90.62 / $123.04	Professional		$88.61	$90.62	$123.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.03 / $91.03 / $91.03	Facility		$91.03	$91.03	$91.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $95.63 / $155.08	Professional		$73.59	$95.63	$155.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $102.00 / $167.83	Professional		$73.00	$102.00	$167.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.80 / $102.64 / $183.95	Facility		$73.80	$102.64	$183.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.68 / $141.97 / $633.97	Professional		$91.68	$141.97	$633.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $137.91 / $137.91 / $137.91	Professional		$137.91	$137.91	$137.91
United Facility/Professional Professional Modifier Low / Median / High Price $88.29 / $115.43 / $208.54	Professional		$88.29	$115.43	$208.54