Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $159.53 / $216.96	Facility		$136.22	$159.53	$216.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $139.40 / $167.51	Professional		$136.66	$139.40	$167.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.66 / $184.50 / $490.92	Facility		$136.66	$184.50	$490.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $170.84	Professional		$136.66	$136.66	$170.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.93 / $128.93 / $136.66	Facility		$128.93	$128.93	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $162.77	Professional		$136.66	$136.66	$162.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $159.53 / $264.29	Facility		$136.22	$159.53	$264.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.03 / $144.07 / $586.87	Professional		$124.03	$144.07	$586.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Professional		$156.66	$156.66	$156.66
United Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $140.50 / $162.63	Professional		$135.12	$140.50	$162.63