Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $107.15 / $288.40	Facility		$53.70	$107.15	$288.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $199.53	Professional		$47.86	$64.57	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $30.90 / $61.66	Professional		$12.30	$30.90	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $218.78	Facility		$61.66	$61.66	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $54.95 / $158.49	Professional		$30.90	$54.95	$158.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $128.82 / $141.25	Facility		$117.49	$128.82	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $346.74	Facility		$81.28	$117.49	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $63.10 / $89.13	Professional		$36.31	$63.10	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $295.12	Facility		$53.70	$102.33	$295.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $75.86	Professional		$26.30	$37.15	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $61.66 / $75.86	Facility		$33.88	$61.66	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $37.15 / $75.86	Professional		$26.30	$37.15	$75.86