Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $119.03 / $189.00	Professional		$79.00	$119.03	$189.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.18 / $167.24 / $167.95	Professional		$104.18	$167.24	$167.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $144.49 / $188.59	Professional		$123.75	$144.49	$188.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $112.20	Facility		$110.00	$110.00	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $110.00	Professional		$93.50	$93.50	$110.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $165.20 / $801.83	Facility		$24.86	$165.20	$801.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $101.39 / $175.56	Professional		$63.10	$101.39	$175.56
United Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $94.29 / $175.56	Professional		$67.06	$94.29	$175.56