Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $121.40 / $145.38	Facility		$86.98	$121.40	$145.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.59 / $93.34 / $238.52	Professional		$57.59	$93.34	$238.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.99 / $108.23 / $125.25	Professional		$91.99	$108.23	$125.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $90.53 / $138.72	Professional		$63.12	$90.53	$138.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.26 / $111.47 / $164.87	Professional		$74.26	$111.47	$164.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.29 / $98.73 / $172.91	Facility		$61.29	$98.73	$172.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.36 / $135.44 / $657.47	Professional		$93.36	$135.44	$657.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $158.15 / $158.15 / $158.15	Professional		$158.15	$158.15	$158.15
United Facility/Professional Professional Modifier Low / Median / High Price $89.33 / $113.73 / $166.46	Professional		$89.33	$113.73	$166.46