Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $72.44 / $104.71	Facility		$69.18	$72.44	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $269.15	Professional		$30.20	$52.48	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $70.79 / $95.50	Professional		$48.98	$70.79	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $45.71 / $81.28	Professional		$28.84	$45.71	$81.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $60.26 / $89.13	Professional		$36.31	$60.26	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $67.61 / $123.03	Professional		$43.65	$67.61	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $47.86 / $79.43	Facility		$32.36	$47.86	$79.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $83.18 / $398.11	Professional		$56.23	$83.18	$398.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $69.18	Professional		$58.88	$58.88	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $87.10	Professional		$38.90	$57.54	$87.10