Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $186.21 / $213.80	Facility		$162.18	$186.21	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $162.18 / $223.87	Professional		$154.88	$162.18	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $109.65 / $158.49	Professional		$58.88	$109.65	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $281.84 / $436.52	Facility		$181.97	$281.84	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $199.53	Professional		$186.21	$186.21	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $186.21	Professional		$151.36	$186.21	$186.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $181.97 / $676.08	Facility		$165.96	$181.97	$676.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $190.55	Professional		$141.25	$186.21	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $588.84	Facility		$501.19	$501.19	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $199.53	Professional		$158.49	$190.55	$199.53