Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.04 / $82.89 / $85.55	Facility		$56.04	$82.89	$85.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $70.76 / $116.75	Professional		$56.04	$70.76	$116.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $92.00 / $92.00	Professional		$92.00	$92.00	$92.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.66 / $128.79 / $566.20	Facility		$122.66	$128.79	$566.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $80.98 / $100.90	Professional		$68.15	$80.98	$100.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $95.08	Professional		$65.11	$65.11	$95.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $100.87 / $645.28	Facility		$57.04	$100.87	$645.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.39 / $68.12 / $129.29	Professional		$50.39	$68.12	$129.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $148.68 / $148.68	Professional		$148.68	$148.68	$148.68
United Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $61.20 / $93.18	Professional		$47.34	$61.20	$93.18