Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $81.12 / $112.39	Facility		$78.29	$81.12	$112.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $87.73 / $152.05	Professional		$78.29	$87.73	$152.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $112.16 / $128.97	Professional		$88.95	$112.16	$128.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.54 / $157.02 / $690.28	Facility		$149.54	$157.02	$690.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $88.64 / $121.03	Professional		$83.17	$88.64	$121.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $96.73	Facility		$95.80	$96.73	$96.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $103.12	Professional		$70.61	$70.61	$103.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.29 / $121.04 / $766.63	Facility		$78.29	$121.04	$766.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $74.61 / $181.78	Professional		$60.38	$74.61	$181.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.86 / $149.12 / $149.12	Professional		$138.86	$149.12	$149.12
United Facility/Professional Professional Modifier Low / Median / High Price $57.06 / $74.61 / $121.81	Professional		$57.06	$74.61	$121.81