Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.14 / $82.40 / $318.00	Professional		$66.14	$82.40	$318.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.07 / $67.67 / $80.54	Professional		$58.07	$67.67	$80.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $96.59 / $131.19	Professional		$57.00	$96.59	$131.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.53 / $93.71 / $163.44	Professional		$66.53	$93.71	$163.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $85.01 / $484.75	Professional		$64.16	$85.01	$484.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $89.32 / $89.32 / $132.78	Professional		$89.32	$89.32	$132.78
United Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $81.69 / $127.64	Professional		$64.16	$81.69	$127.64