Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $213.80 / $295.12	Facility		$151.36	$213.80	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $229.09	Professional		$134.90	$147.91	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $117.49 / $147.91	Professional		$15.14	$117.49	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $251.19 / $389.05	Facility		$158.49	$251.19	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $165.96	Professional		$141.25	$165.96	$165.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $177.83 / $630.96	Facility		$151.36	$177.83	$630.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $177.83	Professional		$131.83	$173.78	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $186.21	Facility		$158.49	$158.49	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $186.21	Professional		$147.91	$173.78	$186.21