Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.60 / $158.22 / $211.47	Facility		$114.60	$158.22	$211.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $128.47 / $297.95	Professional		$78.17	$128.47	$297.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $140.68 / $184.26	Professional		$114.95	$140.68	$184.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $112.26 / $172.26	Professional		$80.86	$112.26	$172.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.82 / $141.81 / $205.46	Professional		$94.82	$141.81	$205.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.17 / $125.93 / $213.98	Facility		$78.17	$125.93	$213.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $117.27 / $168.52 / $817.69	Professional		$117.27	$168.52	$817.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $114.95 / $197.29	Professional		$114.95	$114.95	$197.29
United Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $140.57 / $209.31	Professional		$115.04	$140.57	$209.31