Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.52 / $133.91 / $236.43	Facility		$99.52	$133.91	$236.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $106.76 / $160.86	Professional		$98.18	$106.76	$160.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $142.58 / $206.74	Professional		$67.00	$142.58	$206.74
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 $96.71 / $112.34 / $162.85	Professional		$96.71	$112.34	$162.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $118.47 / $120.81 / $120.81	Facility		$118.47	$120.81	$120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.19 / $88.19 / $128.79	Professional		$88.19	$88.19	$128.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $161.59 / $889.53	Facility		$103.14	$161.59	$889.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.95 / $94.84 / $231.07	Professional		$70.95	$94.84	$231.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $176.67 / $176.67	Professional		$115.00	$176.67	$176.67
United Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $94.84 / $160.99	Professional		$66.79	$94.84	$160.99