Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $81.28	Facility		$56.23	$81.28	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $177.83	Professional		$56.23	$72.44	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $436.52	Facility		$125.89	$125.89	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.28 / $114.82	Professional		$69.18	$81.28	$114.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $125.89	Professional		$75.86	$75.86	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $89.13	Facility		$56.23	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $281.84	Facility		$64.57	$100.00	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $66.07 / $794.33	Professional		$46.77	$66.07	$794.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $97.72 / $97.72	Facility		$79.43	$97.72	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $61.66 / $91.20	Professional		$46.77	$61.66	$91.20