Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $54.63 / $75.68	Facility		$52.72	$54.63	$75.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $59.92 / $110.13	Professional		$52.71	$59.92	$110.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $75.53 / $120.84	Professional		$40.00	$75.53	$120.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $105.74 / $464.83	Facility		$100.70	$105.74	$464.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $61.34 / $81.50	Professional		$56.01	$61.34	$81.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.06	Facility		$68.22	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $73.06	Professional		$49.80	$49.80	$73.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.72 / $81.50 / $535.05	Facility		$52.72	$81.50	$535.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.62 / $50.24 / $122.41	Professional		$41.62	$50.24	$122.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $95.29 / $95.29 / $95.29	Professional		$95.29	$95.29	$95.29
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $50.24 / $97.10	Professional		$39.34	$50.24	$97.10