Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $251.19 / $263.03	Facility		$208.93	$251.19	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $302.00	Professional		$208.93	$208.93	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $199.53	Professional		$120.23	$169.82	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $380.19 / $588.84	Facility		$245.47	$380.19	$588.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $269.15	Professional		$251.19	$251.19	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $251.19	Professional		$190.55	$251.19	$251.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $234.42 / $851.14	Facility		$208.93	$234.42	$851.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $251.19	Professional		$186.21	$245.47	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Facility		$331.13	$331.13	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $257.04 / $269.15	Professional		$208.93	$257.04	$269.15