Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $190.55 / $234.42	Facility		$162.18	$190.55	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $363.08	Professional		$141.25	$162.18	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $177.83 / $245.47	Professional		$131.83	$177.83	$245.47
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 $141.25 / $169.82 / $257.04	Professional		$141.25	$169.82	$257.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $186.21 / $263.03	Professional		$144.54	$186.21	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $338.84	Professional		$158.49	$218.78	$338.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $177.83 / $380.19	Facility		$144.54	$177.83	$380.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $977.24	Professional		$154.88	$229.09	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $302.00	Professional		$141.25	$186.21	$302.00