Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.38 / $113.36 / $170.03	Facility		$109.38	$113.36	$170.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.89 / $113.36 / $173.02	Professional		$107.89	$113.36	$173.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $139.99 / $156.71	Professional		$139.99	$139.99	$156.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.94 / $219.39 / $964.47	Facility		$208.94	$219.39	$964.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $122.76 / $169.12	Professional		$82.66	$122.76	$169.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.54 / $140.54 / $140.54	Facility		$140.54	$140.54	$140.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.59 / $102.59 / $134.37	Professional		$102.59	$102.59	$134.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $169.12 / $977.65	Facility		$104.56	$169.12	$977.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $104.23 / $253.95	Professional		$77.52	$104.23	$253.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $194.18 / $194.18 / $194.18	Professional		$194.18	$194.18	$194.18
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $104.23 / $154.52	Professional		$77.52	$104.23	$154.52