Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $85.11 / $177.83	Facility		$48.98	$85.11	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $93.33	Professional		$38.02	$47.86	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $51.29	Professional		$19.95	$19.95	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $177.83	Facility		$51.29	$51.29	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.65 / $128.82	Professional		$25.12	$43.65	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $104.71 / $190.55	Facility		$100.00	$104.71	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $95.50 / $295.12	Facility		$50.12	$95.50	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $52.48 / $74.13	Professional		$29.51	$52.48	$74.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $245.47	Facility		$39.81	$81.28	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $61.66	Professional		$21.38	$30.90	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $51.29 / $63.10	Facility		$28.18	$51.29	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $61.66	Professional		$21.38	$30.90	$61.66