Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $154.88 / $194.98	Facility		$120.23	$154.88	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $288.40	Professional		$70.79	$112.20	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $107.15 / $134.90	Professional		$83.18	$107.15	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $162.18	Professional		$74.13	$87.10	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $162.18	Professional		$87.10	$112.20	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $125.89 / $194.98	Professional		$91.20	$125.89	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $134.90 / $245.47	Facility		$87.10	$134.90	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $741.31	Professional		$107.15	$154.88	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $66.07 / $100.00	Facility		$64.57	$66.07	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $173.78	Professional		$85.11	$117.49	$173.78