Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.05 / $267.05 / $355.78	Facility		$267.05	$267.05	$355.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.05 / $286.47 / $422.43	Professional		$267.05	$286.47	$422.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $341.79 / $341.79 / $382.60	Professional		$341.79	$341.79	$382.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.13 / $535.64 / $2,354.76	Facility		$510.13	$535.64	$2,354.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.70 / $307.66 / $412.91	Professional		$283.70	$307.66	$412.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $423.86	Professional		$263.86	$263.86	$423.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $267.05 / $412.90 / $2,665.73	Facility		$267.05	$412.90	$2,665.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.85 / $254.50 / $624.26	Professional		$210.85	$254.50	$624.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $469.32 / $469.32 / $469.32	Professional		$469.32	$469.32	$469.32
United Facility/Professional Professional Modifier Low / Median / High Price $196.09 / $254.50 / $524.21	Professional		$196.09	$254.50	$524.21