Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $141.01 / $193.70	Facility		$108.99	$141.01	$193.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $104.65 / $256.76	Professional		$65.27	$104.65	$256.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.80 / $112.71 / $168.50	Professional		$95.80	$112.71	$168.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $102.68 / $157.28	Professional		$71.54	$102.68	$157.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.01 / $126.33 / $186.30	Professional		$84.01	$126.33	$186.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $111.44 / $195.44	Facility		$69.18	$111.44	$195.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $153.88 / $743.11	Professional		$107.50	$153.88	$743.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $141.88 / $141.88	Professional		$141.88	$141.88	$141.88
United Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $128.91 / $191.13	Professional		$104.92	$128.91	$191.13