Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $95.50 / $104.71	Professional		$91.20	$95.50	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $114.82	Professional		$67.61	$89.13	$114.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $91.20	Professional		$10.00	$11.75	$91.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $169.82	Professional		$100.00	$117.49	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $104.71 / $234.42	Facility		$91.20	$104.71	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $602.56	Professional		$75.86	$97.72	$602.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $147.91	Professional		$74.13	$95.50	$147.91