Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.57 / $101.57 / $135.33	Facility		$101.57	$101.57	$135.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.57 / $105.26 / $160.66	Professional		$101.57	$105.26	$160.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $145.52 / $145.52 / $145.52	Professional		$145.52	$145.52	$145.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.02 / $203.72 / $895.60	Facility		$194.02	$203.72	$895.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.95 / $109.27 / $157.03	Professional		$99.95	$109.27	$157.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.67 / $112.67 / $112.67	Facility		$112.67	$112.67	$112.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $82.25 / $120.11	Professional		$82.25	$82.25	$120.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.53 / $156.38 / $939.42	Facility		$100.53	$156.38	$939.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.53 / $96.80 / $235.84	Professional		$74.53	$96.80	$235.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $187.06 / $187.06	Professional		$187.06	$187.06	$187.06
United Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $96.80 / $152.79	Professional		$73.87	$96.80	$152.79