Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $173.78 / $346.74	Facility		$109.65	$173.78	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $288.40	Professional		$123.03	$141.25	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $141.25 / $218.78	Professional		$60.26	$141.25	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $257.04	Professional		$57.54	$89.13	$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 $186.21 / $275.42 / $338.84	Facility		$186.21	$275.42	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $123.03 / $208.93	Professional		$67.61	$123.03	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $158.49 / $676.08	Facility		$128.82	$158.49	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $707.95	Professional		$66.07	$91.20	$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 $64.57 / $89.13 / $165.96	Professional		$64.57	$89.13	$165.96