Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $100.00	Professional		$53.70	$85.11	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $125.89	Professional		$93.33	$109.65	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $112.20	Facility		$91.20	$91.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $107.15	Professional		$77.62	$91.20	$107.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $131.83 / $645.65	Facility		$72.44	$131.83	$645.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $147.91	Professional		$57.54	$77.62	$147.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $61.66 / $107.15	Facility		$7.41	$61.66	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $125.89	Professional		$57.54	$74.13	$125.89