Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $187.05 / $253.86	Facility		$116.00	$187.05	$253.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.33 / $171.46 / $262.29	Professional		$160.33	$171.46	$262.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.00 / $233.96 / $249.55	Professional		$209.00	$233.96	$249.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $311.94 / $327.54 / $1,439.92	Facility		$311.94	$327.54	$1,439.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $189.42 / $252.50	Professional		$154.28	$189.42	$252.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $142.29 / $207.79	Professional		$142.29	$142.29	$207.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.30 / $252.49 / $1,620.96	Facility		$163.30	$252.49	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.93 / $155.62 / $379.16	Professional		$128.93	$155.62	$379.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $286.98 / $286.98 / $286.98	Professional		$286.98	$286.98	$286.98
United Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $155.62 / $239.81	Professional		$119.91	$155.62	$239.81