Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.40 / $171.48 / $620.98	Facility		$41.40	$171.48	$620.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.48 / $177.71 / $271.25	Professional		$171.48	$177.71	$271.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $245.68 / $327.57	Professional		$245.68	$245.68	$327.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.57 / $343.95 / $1,512.06	Facility		$327.57	$343.95	$1,512.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.95 / $186.65 / $265.01	Professional		$165.95	$186.65	$265.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.42 / $216.42 / $244.45	Facility		$216.42	$216.42	$244.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.99 / $157.99 / $239.95	Professional		$157.99	$157.99	$239.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $265.13 / $1,611.98	Facility		$167.26	$265.13	$1,611.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $163.41 / $398.16	Professional		$127.92	$163.41	$398.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $284.72 / $284.72 / $284.72	Professional		$284.72	$284.72	$284.72
United Facility/Professional Facility Modifier Low / Median / High Price $118.96 / $154.40 / $262.06	Facility		$118.96	$154.40	$262.06
United Facility/Professional Professional Modifier Low / Median / High Price $124.71 / $163.41 / $242.25	Professional		$124.71	$163.41	$242.25