Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $62.67 / $85.09	Facility		$62.67	$62.67	$85.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $76.98 / $117.51	Professional		$37.59	$76.98	$117.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.27 / $68.95 / $68.95	Professional		$35.27	$68.95	$68.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.91 / $149.01 / $655.05	Facility		$141.91	$149.01	$655.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.55 / $71.83 / $114.81	Professional		$67.55	$71.83	$114.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $51.68	Professional		$51.68	$51.68	$51.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $113.31 / $589.07	Facility		$62.98	$113.31	$589.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $70.79 / $172.49	Professional		$47.20	$70.79	$172.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $104.25 / $104.25 / $104.25	Professional		$104.25	$104.25	$104.25
United Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $69.44 / $120.86	Professional		$47.20	$69.44	$120.86