Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $154.88 / $338.84	Facility		$85.11	$154.88	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $316.23	Professional		$61.66	$81.28	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $323.59	Facility		$91.20	$91.20	$323.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $58.88 / $165.96	Professional		$21.38	$58.88	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $141.25	Professional		$64.57	$91.20	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $177.83 / $512.86	Facility		$87.10	$177.83	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $173.78	Professional		$43.65	$87.10	$173.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $114.82 / $436.52	Facility		$77.62	$114.82	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $75.86 / $457.09	Professional		$38.90	$75.86	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $91.20 / $112.20	Facility		$52.48	$91.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $112.20	Professional		$38.90	$54.95	$112.20