Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $85.00 / $162.37	Facility		$57.00	$85.00	$162.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $126.30 / $209.35	Professional		$120.25	$126.30	$209.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $188.17 / $188.17	Professional		$188.17	$188.17	$188.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $232.80 / $244.44 / $1,074.59	Facility		$232.80	$244.44	$1,074.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.72 / $127.31 / $188.43	Professional		$115.72	$127.31	$188.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $130.59 / $189.46	Professional		$95.33	$130.59	$189.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $188.43 / $1,089.41	Facility		$111.71	$188.43	$1,089.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $116.14 / $282.95	Professional		$86.39	$116.14	$282.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $216.40 / $216.40 / $216.40	Professional		$216.40	$216.40	$216.40
United Facility/Professional Professional Modifier Low / Median / High Price $86.39 / $116.14 / $176.78	Professional		$86.39	$116.14	$176.78