Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $229.09 / $229.09	Facility		$154.88	$229.09	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $194.98 / $489.78	Professional		$151.36	$194.98	$489.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $257.04 / $269.15	Professional		$229.09	$257.04	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $1,202.26	Facility		$346.74	$346.74	$1,202.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $323.59	Professional		$181.97	$204.17	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $346.74	Professional		$208.93	$208.93	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $208.93 / $208.93	Facility		$169.82	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $208.93	Professional		$151.36	$151.36	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $275.42 / $758.58	Facility		$177.83	$275.42	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $177.83 / $2,187.76	Professional		$128.82	$177.83	$2,187.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $416.87	Professional		$407.38	$407.38	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $269.15 / $269.15	Facility		$218.78	$269.15	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $251.19	Professional		$128.82	$169.82	$251.19