Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $371.54 / $977.24	Facility		$120.23	$371.54	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $251.19	Professional		$60.26	$120.23	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $53.70 / $79.43	Professional		$27.54	$53.70	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $89.13 / $114.82	Professional		$44.67	$89.13	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $218.78 / $389.05	Facility		$204.17	$218.78	$389.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $61.66	Professional		$38.90	$43.65	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $186.21 / $371.54	Facility		$72.44	$186.21	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $107.15 / $194.98	Professional		$66.07	$107.15	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $575.44	Facility		$91.20	$181.97	$575.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $104.71 / $812.83	Professional		$69.18	$104.71	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $102.33 / $199.53	Professional		$64.57	$102.33	$199.53