Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.26 / $257.77 / $266.02	Facility		$174.26	$257.77	$266.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.26 / $222.67 / $363.05	Professional		$174.26	$222.67	$363.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $255.56 / $255.56 / $286.07	Professional		$255.56	$255.56	$286.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.43 / $400.50 / $1,760.68	Facility		$381.43	$400.50	$1,760.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $231.73 / $308.70	Professional		$190.60	$231.73	$308.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $181.08 / $264.43	Professional		$181.08	$181.08	$264.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.26 / $307.39 / $2,003.74	Facility		$174.26	$307.39	$2,003.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.58 / $211.80 / $406.86	Professional		$158.58	$211.80	$406.86
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $467.89 / $467.89 / $467.89	Professional		$467.89	$467.89	$467.89
United Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $192.24 / $382.20	Professional		$149.00	$192.24	$382.20