Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $92.50 / $192.18	Facility		$90.50	$92.50	$192.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.91 / $153.19 / $279.24	Professional		$140.91	$153.19	$279.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $182.77 / $296.66	Professional		$61.00	$182.77	$296.66
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 $120.00 / $159.34 / $229.23	Professional		$120.00	$159.34	$229.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $146.03	Facility		$142.00	$142.00	$146.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $151.38	Professional		$103.66	$103.66	$151.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $148.00 / $231.87 / $1,281.52	Facility		$148.00	$231.87	$1,281.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.83 / $136.10 / $331.59	Professional		$101.83	$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 $101.83 / $136.10 / $261.26	Professional		$101.83	$136.10	$261.26