Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.99 / $167.99 / $167.99	Facility		$167.99	$167.99	$167.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.84 / $64.50 / $88.40	Professional		$55.84	$64.50	$88.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.24 / $75.61 / $105.42	Professional		$53.24	$75.61	$105.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.32 / $67.09 / $106.06	Professional		$53.32	$67.09	$106.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $80.02 / $132.43	Professional		$48.00	$80.02	$132.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $68.47 / $131.41	Facility		$56.48	$68.47	$131.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $89.23 / $417.96	Professional		$55.30	$89.23	$417.96
United Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $69.58 / $132.10	Professional		$52.54	$69.58	$132.10