Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $165.12 / $218.91	Facility		$117.93	$165.12	$218.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $117.94 / $225.00	Professional		$78.84	$117.94	$225.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $133.13 / $186.00	Professional		$102.88	$133.13	$186.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $115.60 / $175.14	Professional		$84.34	$115.60	$175.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.29 / $144.66 / $211.88	Professional		$97.29	$144.66	$211.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.27 / $130.21 / $220.18	Facility		$81.27	$130.21	$220.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $173.00 / $842.92	Professional		$119.82	$173.00	$842.92
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $159.65 / $159.65 / $159.65	Professional		$159.65	$159.65	$159.65
United Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $145.69 / $215.39	Professional		$117.00	$145.69	$215.39