Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $123.03	Facility		$104.71	$104.71	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $194.98	Professional		$89.13	$104.71	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $120.23 / $151.36	Professional		$77.62	$120.23	$151.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $165.96	Professional		$91.20	$109.65	$165.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $173.78	Professional		$95.50	$120.23	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $218.78	Professional		$102.33	$141.25	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $117.49 / $245.47	Facility		$95.50	$117.49	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $630.96	Professional		$100.00	$151.36	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Facility		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $120.23 / $194.98	Professional		$91.20	$120.23	$194.98