Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $46.77 / $74.13	Facility		$26.30	$46.77	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $40.74 / $75.86	Professional		$20.89	$40.74	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $39.81 / $54.95	Professional		$26.30	$39.81	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.90 / $61.66	Professional		$23.44	$38.90	$61.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $44.67 / $69.18	Professional		$22.91	$44.67	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $46.77 / $67.61	Professional		$28.84	$46.77	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $41.69 / $70.79	Facility		$22.91	$41.69	$70.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $60.26 / $275.42	Professional		$41.69	$60.26	$275.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $52.48 / $61.66	Professional		$48.98	$52.48	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $44.67 / $74.13	Professional		$24.55	$44.67	$74.13