Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.87 / $76.87 / $104.99	Facility		$76.87	$76.87	$104.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $79.67 / $121.60	Professional		$75.84	$79.67	$121.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $110.13 / $110.13	Professional		$110.13	$110.13	$110.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $146.84 / $154.18 / $677.81	Facility		$146.84	$154.18	$677.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $45.00 / $123.35	Professional		$43.50	$45.00	$123.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $89.24	Professional		$61.11	$61.11	$89.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $124.81 / $688.05	Facility		$75.00	$124.81	$688.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $73.26 / $178.49	Professional		$54.94	$73.26	$178.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $136.47	Professional		$136.47	$136.47	$136.47
United Facility/Professional Facility Modifier Low / Median / High Price $51.71 / $65.92 / $117.47	Facility		$51.71	$65.92	$117.47
United Facility/Professional Professional Modifier Low / Median / High Price $51.71 / $73.26 / $124.37	Professional		$51.71	$73.26	$124.37