Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $103.99 / $107.33	Facility		$70.31	$103.99	$107.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $80.56 / $146.47	Professional		$70.31	$80.56	$146.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.11 / $103.11 / $115.42	Professional		$103.11	$103.11	$115.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.88 / $161.58 / $710.36	Facility		$153.88	$161.58	$710.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $92.90 / $143.44	Professional		$76.90	$92.90	$143.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $73.02 / $106.64	Professional		$73.02	$73.02	$106.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.31 / $128.88 / $720.06	Facility		$70.31	$128.88	$720.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $82.26 / $136.62	Professional		$57.43	$82.26	$136.62
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $142.99 / $142.99 / $142.99	Professional		$142.99	$142.99	$142.99
United Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $77.34 / $109.12	Professional		$57.43	$77.34	$109.12