Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $142.81 / $190.28	Facility		$15.50	$142.81	$190.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $148.00 / $359.78	Professional		$123.10	$148.00	$359.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.72 / $327.35 / $357.90	Professional		$200.72	$327.35	$357.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $272.79 / $286.43 / $1,259.20	Facility		$272.79	$286.43	$1,259.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.61 / $148.53 / $220.79	Professional		$135.61	$148.53	$220.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $218.05	Professional		$98.55	$135.00	$218.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.55 / $220.80 / $1,281.52	Facility		$136.55	$220.80	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $136.10 / $331.59	Professional		$101.24	$136.10	$331.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $253.61 / $253.61 / $253.61	Professional		$253.61	$253.61	$253.61
United Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $136.10 / $216.67	Professional		$95.68	$136.10	$216.67