Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $145.86 / $171.88	Facility		$88.48	$145.86	$171.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $124.80 / $292.75	Professional		$78.84	$124.80	$292.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.53 / $130.03 / $159.71	Professional		$110.53	$130.03	$159.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.27 / $108.84 / $166.90	Professional		$80.27	$108.84	$166.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.14 / $138.55 / $200.05	Professional		$95.14	$138.55	$200.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.61 / $123.80 / $205.32	Facility		$76.61	$123.80	$205.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $159.97 / $785.23	Professional		$111.49	$159.97	$785.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $183.44 / $213.45 / $213.45	Professional		$183.44	$213.45	$213.45
United Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $135.54 / $200.19	Professional		$105.20	$135.54	$200.19