Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $190.55 / $331.13	Facility		$95.50	$190.55	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $316.23	Professional		$93.33	$123.03	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $120.23 / $144.54	Professional		$60.26	$120.23	$144.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $501.19	Facility		$141.25	$141.25	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $93.33 / $257.04	Professional		$57.54	$93.33	$257.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $208.93 / $371.54	Facility		$199.53	$208.93	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $239.88	Professional		$100.00	$141.25	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $275.42 / $338.84	Facility		$194.98	$275.42	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $199.53	Professional		$63.10	$75.86	$199.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $169.82 / $676.08	Facility		$120.23	$169.82	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $707.95	Professional		$60.26	$85.11	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $141.25 / $169.82	Facility		$60.26	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $162.18	Professional		$60.26	$85.11	$162.18