Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $194.98 / $269.15	Facility		$109.65	$194.98	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $416.87	Professional		$107.15	$169.82	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $208.93	Professional		$131.83	$154.88	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $141.25 / $208.93	Professional		$104.71	$141.25	$208.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $162.18 / $213.80	Professional		$107.15	$162.18	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $165.96 / $275.42	Professional		$120.23	$165.96	$275.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $151.36 / $275.42	Facility		$97.72	$151.36	$275.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $204.17 / $1,023.29	Professional		$141.25	$204.17	$1,023.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $223.87	Professional		$109.65	$154.88	$223.87