Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $630.96	Facility		$316.23	$446.68	$630.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $275.42 / $512.86	Professional		$213.80	$275.42	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $1,148.15	Facility		$323.59	$323.59	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $134.90 / $512.86	Professional		$20.42	$134.90	$512.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $1,258.93	Facility		$602.56	$1,071.52	$1,258.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $1,318.26	Professional		$229.09	$323.59	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $630.96 / $1,348.96	Facility		$229.09	$630.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $309.03 / $478.63	Professional		$141.25	$309.03	$478.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $389.05 / $1,548.82	Facility		$281.84	$389.05	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $1,621.81	Professional		$134.90	$199.53	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $323.59 / $389.05	Facility		$138.04	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $354.81	Professional		$134.90	$194.98	$354.81