Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $354.81	Facility		$194.98	$316.23	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $537.03	Professional		$147.91	$177.83	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $707.95	Facility		$199.53	$199.53	$707.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $120.23 / $346.74	Professional		$36.31	$120.23	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $309.03	Professional		$141.25	$199.53	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $389.05 / $1,122.02	Facility		$190.55	$389.05	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $190.55 / $380.19	Professional		$95.50	$190.55	$380.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $251.19 / $954.99	Facility		$169.82	$251.19	$954.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $165.96 / $1,000.00	Professional		$85.11	$165.96	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $251.19	Facility		$114.82	$199.53	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $245.47	Professional		$85.11	$120.23	$245.47