Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $85.62 / $168.00	Facility		$62.72	$85.62	$168.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.67 / $97.80 / $182.13	Professional		$70.67	$97.80	$182.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.38 / $140.78 / $176.28	Professional		$109.38	$140.78	$176.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $105.00 / $169.01	Professional		$78.77	$105.00	$169.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.29 / $137.50 / $214.02	Professional		$98.29	$137.50	$214.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.80 / $137.60 / $294.77	Facility		$87.80	$137.60	$294.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $88.75 / $124.88 / $707.45	Professional		$88.75	$124.88	$707.45
United Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $111.95 / $170.73	Professional		$86.75	$111.95	$170.73