Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $239.88 / $478.63	Facility		$141.25	$239.88	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $323.59	Professional		$100.00	$141.25	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $74.13 / $141.25	Professional		$28.84	$74.13	$141.25
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 $63.10 / $114.82 / $309.03	Professional		$63.10	$114.82	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $229.09 / $416.87	Facility		$223.87	$229.09	$416.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $269.15	Professional		$100.00	$141.25	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $707.95	Facility		$181.97	$275.42	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $229.09	Professional		$67.61	$95.50	$229.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $676.08	Facility		$123.03	$194.98	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $707.95	Professional		$60.26	$104.71	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $141.25 / $169.82	Facility		$74.13	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $85.11 / $165.96	Professional		$60.26	$85.11	$165.96