Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.58 / $130.86 / $309.77	Professional		$106.58	$130.86	$309.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.07 / $145.07 / $185.59	Professional		$145.07	$145.07	$185.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $135.26 / $183.56	Professional		$110.00	$135.26	$183.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $115.76 / $119.13	Professional		$115.76	$115.76	$119.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.81 / $190.74 / $305.39	Facility		$120.81	$190.74	$305.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.35 / $189.61 / $827.90	Professional		$128.35	$189.61	$827.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $213.43 / $213.43 / $213.43	Professional		$213.43	$213.43	$213.43
United Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $175.87 / $333.37	Professional		$126.95	$175.87	$333.37