Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $100.00 / $213.80	Facility		$56.23	$100.00	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $199.53	Professional		$53.70	$70.79	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $128.82	Professional		$74.13	$74.13	$128.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $263.03	Facility		$74.13	$74.13	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $77.62 / $147.91	Professional		$36.31	$77.62	$147.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $870.96	Facility		$141.25	$141.25	$870.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $112.20	Professional		$52.48	$74.13	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $144.54 / $407.38	Facility		$69.18	$144.54	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $70.79 / $141.25	Professional		$35.48	$70.79	$141.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $97.72 / $354.81	Facility		$64.57	$97.72	$354.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $58.88 / $371.54	Professional		$30.90	$58.88	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $74.13 / $89.13	Facility		$41.69	$74.13	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $89.13	Professional		$30.90	$44.67	$89.13