Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $117.49 / $120.23	Facility		$66.07	$117.49	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $81.28 / $173.78	Professional		$63.10	$81.28	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $114.82 / $117.49	Professional		$109.65	$114.82	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $512.86	Facility		$147.91	$147.91	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $138.04	Professional		$77.62	$87.10	$138.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Professional		$89.13	$89.13	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $128.82 / $128.82	Facility		$125.89	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $128.82	Professional		$109.65	$109.65	$128.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $120.23 / $323.59	Facility		$75.86	$120.23	$323.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $77.62 / $741.31	Professional		$54.95	$77.62	$741.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $147.91	Facility		$95.50	$114.82	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $109.65	Professional		$54.95	$72.44	$109.65