Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $87.10 / $87.10	Facility		$38.02	$87.10	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $57.54 / $177.83	Professional		$27.54	$57.54	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $109.65	Professional		$60.26	$70.79	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $316.23	Facility		$91.20	$91.20	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $83.18	Professional		$46.77	$57.54	$83.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $91.20	Professional		$54.95	$54.95	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $58.88	Professional		$43.65	$43.65	$58.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $75.86 / $416.87	Facility		$44.67	$75.86	$416.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $44.67 / $446.68	Professional		$33.11	$44.67	$446.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $70.79 / $70.79	Facility		$43.65	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $67.61	Professional		$30.90	$44.67	$67.61