Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $213.80	Facility		$186.21	$186.21	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $229.09 / $588.84	Professional		$162.18	$229.09	$588.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $407.38	Professional		$251.19	$302.00	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,096.48	Facility		$316.23	$316.23	$1,096.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $489.78	Professional		$239.88	$288.40	$489.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $316.23	Professional		$186.21	$186.21	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $302.00	Professional		$218.78	$218.78	$302.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $1,348.96	Facility		$186.21	$302.00	$1,348.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $2,041.74	Professional		$162.18	$245.47	$2,041.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $245.47 / $338.84	Facility		$208.93	$245.47	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $239.88 / $346.74	Professional		$162.18	$239.88	$346.74