Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $181.11 / $519.54	Professional		$118.75	$181.11	$519.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.70 / $130.04 / $170.65	Professional		$103.70	$130.04	$170.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.63 / $194.76 / $255.11	Professional		$133.63	$194.76	$255.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $184.12 / $301.02	Professional		$129.41	$184.12	$301.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $122.73 / $175.30 / $907.92	Professional		$122.73	$175.30	$907.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $240.26 / $240.26 / $240.26	Professional		$240.26	$240.26	$240.26
United Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $148.84 / $256.17	Professional		$117.15	$148.84	$256.17