Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $190.55 / $245.47	Facility		$102.33	$190.55	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $446.68	Professional		$107.15	$190.55	$446.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $190.55	Professional		$114.82	$144.54	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $190.55	Professional		$97.72	$128.82	$190.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $194.98	Professional		$100.00	$151.36	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $251.19	Professional		$109.65	$154.88	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $138.04 / $251.19	Facility		$91.20	$138.04	$251.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $954.99	Professional		$128.82	$181.97	$954.99
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $190.55	Professional		$162.18	$177.83	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $204.17	Professional		$102.33	$141.25	$204.17