Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.10 / $107.49 / $261.49	Facility		$53.10	$107.49	$261.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $203.42 / $442.43	Professional		$196.28	$203.42	$442.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $281.20 / $294.70	Professional		$281.20	$281.20	$294.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.94 / $393.69 / $1,730.72	Facility		$374.94	$393.69	$1,730.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.96 / $221.05 / $303.48	Professional		$150.96	$221.05	$303.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $233.36	Facility		$233.36	$233.36	$233.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.35 / $233.36 / $329.53	Professional		$170.35	$233.36	$329.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.36 / $318.70 / $1,920.30	Facility		$174.36	$318.70	$1,920.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $140.33 / $187.06 / $514.11	Professional		$140.33	$187.06	$514.11
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $338.91 / $338.91 / $338.91	Professional		$338.91	$338.91	$338.91
United Facility/Professional Professional Modifier Low / Median / High Price $125.23 / $187.06 / $351.98	Professional		$125.23	$187.06	$351.98