Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $193.23 / $199.40	Facility		$130.63	$193.23	$199.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.63 / $149.68 / $272.14	Professional		$130.63	$149.68	$272.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $130.00 / $130.00	Professional		$130.00	$130.00	$130.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.93 / $300.23 / $1,319.85	Facility		$285.93	$300.23	$1,319.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.87 / $180.77 / $231.33	Professional		$142.87	$180.77	$231.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.19 / $170.64 / $170.64	Facility		$131.19	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $181.91	Professional		$124.57	$124.57	$181.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.63 / $230.42 / $1,269.54	Facility		$130.63	$230.42	$1,269.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $143.72 / $215.96	Professional		$100.10	$143.72	$215.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $250.87 / $250.87 / $250.87	Professional		$250.87	$250.87	$250.87
United Facility/Professional Professional Modifier Low / Median / High Price $100.10 / $142.63 / $206.71	Professional		$100.10	$142.63	$206.71