Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.89 / $70.89 / $94.44	Facility		$70.89	$70.89	$94.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $73.47 / $112.13	Professional		$70.89	$73.47	$112.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.72 / $90.72 / $90.72	Professional		$90.72	$90.72	$90.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.41 / $142.18 / $625.04	Facility		$135.41	$142.18	$625.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $79.14 / $109.56	Professional		$75.31	$79.14	$109.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.22 / $106.22 / $106.22	Facility		$106.22	$106.22	$106.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $113.24	Professional		$77.54	$77.54	$113.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.89 / $109.61 / $729.99	Facility		$70.89	$109.61	$729.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $67.55 / $164.60	Professional		$54.84	$67.55	$164.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.75 / $162.75 / $162.75	Professional		$162.75	$162.75	$162.75
United Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $66.19 / $135.41	Facility		$51.00	$66.19	$135.41
United Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $67.55 / $102.00	Professional		$51.83	$67.55	$102.00