Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $67.62 / $91.76	Facility		$59.03	$67.62	$91.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $63.32 / $93.38	Professional		$59.03	$63.32	$93.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $147.94	Professional		$84.57	$84.57	$147.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.76 / $118.40 / $520.50	Facility		$112.76	$118.40	$520.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $67.73 / $91.28	Professional		$60.50	$67.73	$91.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $94.72	Professional		$64.86	$64.86	$94.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.03 / $91.27 / $587.62	Facility		$59.03	$91.27	$587.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $56.26 / $137.06	Professional		$45.86	$56.26	$137.06
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $110.85 / $110.85 / $110.85	Professional		$110.85	$110.85	$110.85
United Facility/Professional Professional Modifier Low / Median / High Price $42.93 / $56.26 / $109.57	Professional		$42.93	$56.26	$109.57