Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $123.03	Professional		$64.57	$100.00	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $33.11	Professional		$22.39	$26.92	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $134.90 / $134.90	Professional		$83.18	$134.90	$134.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $83.18 / $199.53	Professional		$22.39	$83.18	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $117.49 / $288.40	Professional		$27.54	$117.49	$288.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $83.18 / $83.18	Facility		$22.39	$83.18	$83.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $83.18 / $173.78	Professional		$25.12	$83.18	$173.78