Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $51.29	Facility		$39.81	$39.81	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.86 / $64.57	Professional		$33.88	$47.86	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.81 / $47.86 / $93.33	Professional		$0.81	$47.86	$93.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $40.74 / $102.33	Professional		$34.67	$40.74	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $40.74 / $50.12	Professional		$35.48	$40.74	$50.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $54.95	Professional		$34.67	$46.77	$54.95
Optum Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $67.61 / $117.49	Professional		$33.88	$67.61	$117.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $158.49	Facility		$40.74	$40.74	$158.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $54.95	Professional		$34.67	$46.77	$54.95