Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $263.03 / $309.03	Facility		$208.93	$263.03	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $275.42	Professional		$102.33	$147.91	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $173.78	Professional		$66.07	$66.07	$173.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $616.60	Facility		$173.78	$173.78	$616.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $72.44 / $281.84	Professional		$36.31	$72.44	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $199.53	Professional		$123.03	$173.78	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $338.84 / $724.44	Facility		$123.03	$338.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $257.04	Professional		$77.62	$165.96	$257.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $831.76	Facility		$147.91	$208.93	$831.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $870.96	Professional		$74.13	$107.15	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $173.78 / $208.93	Facility		$75.86	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $194.98	Professional		$74.13	$104.71	$194.98