Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $165.96	Professional		$93.33	$141.25	$165.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $204.17	Professional		$128.82	$128.82	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $234.42	Professional		$154.88	$186.21	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $194.98	Facility		$123.03	$123.03	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $128.82	Professional		$104.71	$123.03	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $169.82 / $1,096.48	Facility		$93.33	$169.82	$1,096.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $223.87	Professional		$81.28	$109.65	$223.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $97.72 / $162.18	Facility		$12.88	$97.72	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $204.17	Professional		$81.28	$104.71	$204.17