Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.03 / $94.03 / $125.29	Facility		$94.03	$94.03	$125.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $97.45 / $148.74	Professional		$80.72	$97.45	$148.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.35 / $120.35 / $134.72	Professional		$120.35	$120.35	$134.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $179.63 / $188.61 / $829.17	Facility		$179.63	$188.61	$829.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.74 / $85.06 / $145.32	Professional		$82.74	$85.06	$145.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $74.90 / $120.31	Professional		$74.90	$74.90	$120.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.78 / $144.78 / $744.59	Facility		$78.78	$144.78	$744.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $89.62 / $218.34	Professional		$59.74	$89.62	$218.34
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $135.41 / $135.41	Professional		$135.41	$135.41	$135.41
United Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $89.62 / $157.05	Professional		$59.74	$89.62	$157.05