Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.42 / $132.27 / $136.51	Facility		$89.42	$132.27	$136.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.42 / $104.33 / $186.30	Professional		$89.42	$104.33	$186.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $146.80 / $146.80	Professional		$146.80	$146.80	$146.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.73 / $205.52 / $903.49	Facility		$195.73	$205.52	$903.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $120.12 / $158.36	Professional		$99.42	$120.12	$158.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $130.38	Professional		$89.29	$89.29	$130.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $157.75 / $1,037.98	Facility		$89.92	$157.75	$1,037.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.38 / $106.30 / $208.78	Professional		$81.38	$106.30	$208.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $240.10 / $240.10 / $240.10	Professional		$240.10	$240.10	$240.10
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $98.39 / $150.47	Professional		$76.45	$98.39	$150.47