Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.26 / $51.26 / $68.98	Facility		$51.26	$51.26	$68.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $54.99 / $82.87	Professional		$51.26	$54.99	$82.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $69.87 / $128.46	Professional		$69.87	$69.87	$128.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.91 / $102.81 / $451.95	Facility		$97.91	$102.81	$451.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.82 / $65.76 / $83.88	Professional		$49.82	$65.76	$83.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $65.25	Professional		$44.68	$44.68	$65.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.82 / $84.13 / $474.60	Facility		$53.82	$84.13	$474.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $48.85 / $119.02	Professional		$39.86	$48.85	$119.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $88.23 / $88.23	Professional		$88.23	$88.23	$88.23
United Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $127.86 / $153.43	Facility		$127.86	$127.86	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $48.85 / $80.06	Professional		$37.53	$48.85	$80.06