Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.01 / $82.01 / $109.26	Facility		$82.01	$82.01	$109.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $84.99 / $129.72	Professional		$80.91	$84.99	$129.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.96 / $104.96 / $117.49	Professional		$104.96	$104.96	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.65 / $164.48 / $723.10	Facility		$156.65	$164.48	$723.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.29 / $84.87 / $126.74	Professional		$78.29	$84.87	$126.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$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 $78.41 / $126.80 / $734.34	Facility		$78.41	$126.80	$734.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $78.15 / $190.41	Professional		$58.13	$78.15	$190.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $145.65 / $145.65 / $145.65	Professional		$145.65	$145.65	$145.65
United Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $78.15 / $118.97	Professional		$54.94	$78.15	$118.97