Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $181.97 / $213.80	Facility		$117.49	$181.97	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $144.54 / $323.59	Professional		$87.10	$144.54	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $194.98	Professional		$104.71	$128.82	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $114.82 / $169.82	Professional		$85.11	$114.82	$169.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $169.82	Professional		$85.11	$134.90	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $213.80	Professional		$95.50	$134.90	$213.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $223.87	Facility		$77.62	$123.03	$223.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $851.14	Professional		$112.20	$162.18	$851.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $177.83	Professional		$87.10	$123.03	$177.83