Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.36 / $124.40 / $177.64	Facility		$95.36	$124.40	$177.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $99.91 / $280.43	Professional		$60.57	$99.91	$280.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.54 / $108.38 / $154.63	Professional		$83.54	$108.38	$154.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $94.28 / $144.49	Professional		$63.12	$94.28	$144.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $113.49 / $171.76	Professional		$74.31	$113.49	$171.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $100.63 / $179.45	Facility		$61.29	$100.63	$179.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $142.97 / $685.73	Professional		$100.46	$142.97	$685.73
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $159.87 / $159.87	Professional		$159.87	$159.87	$159.87
United Facility/Professional Professional Modifier Low / Median / High Price $96.02 / $118.38 / $176.19	Professional		$96.02	$118.38	$176.19