Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.63 / $137.03 / $156.08	Facility		$102.63	$137.03	$156.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $115.40 / $268.52	Professional		$71.22	$115.40	$268.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $127.48 / $166.35	Professional		$97.00	$127.48	$166.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $101.33 / $155.60	Professional		$73.87	$101.33	$155.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.48 / $127.82 / $189.18	Professional		$86.48	$127.82	$189.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.42 / $114.43 / $192.78	Facility		$71.42	$114.43	$192.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.28 / $150.13 / $732.11	Professional		$104.28	$150.13	$732.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $103.85 / $146.60 / $177.20	Professional		$103.85	$146.60	$177.20
United Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $127.82 / $190.60	Professional		$98.65	$127.82	$190.60