Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $108.68 / $132.00	Facility		$34.50	$108.68	$132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $81.23 / $112.89	Professional		$75.72	$81.23	$112.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.55 / $106.55 / $135.00	Professional		$106.55	$106.55	$135.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $151.87 / $667.66	Facility		$144.63	$151.87	$667.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.58 / $85.77 / $117.02	Professional		$80.58	$85.77	$117.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.38 / $115.38 / $141.93	Facility		$115.38	$115.38	$141.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $127.91	Professional		$84.23	$84.23	$127.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.72 / $117.07 / $749.92	Facility		$75.72	$117.07	$749.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.12 / $72.16 / $175.81	Professional		$59.12	$72.16	$175.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $146.07 / $146.07	Professional		$146.07	$146.07	$146.07
United Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $72.16 / $137.91	Professional		$55.07	$72.16	$137.91