Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.52 / $154.71 / $312.89	Facility		$99.52	$154.71	$312.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $103.14 / $193.33	Professional		$98.19	$103.14	$193.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.63 / $171.10 / $171.10	Professional		$153.63	$171.10	$171.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $199.62 / $877.55	Facility		$190.11	$199.62	$877.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $103.75 / $156.38	Professional		$94.49	$103.75	$156.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $121.71	Facility		$106.63	$106.63	$121.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $118.22	Professional		$77.84	$77.84	$118.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.14 / $153.87 / $889.53	Facility		$95.14	$153.87	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.54 / $94.84 / $231.07	Professional		$70.54	$94.84	$231.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $176.67 / $176.67 / $176.67	Professional		$176.67	$176.67	$176.67
United Facility/Professional Professional Modifier Low / Median / High Price $66.66 / $94.84 / $144.33	Professional		$66.66	$94.84	$144.33