Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $234.42 / $1,862.09	Facility		$186.21	$234.42	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $218.78 / $537.03	Professional		$114.82	$218.78	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $199.53	Professional		$114.82	$154.88	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $275.42	Professional		$138.04	$169.82	$275.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $208.93	Professional		$123.03	$134.90	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $295.12	Professional		$138.04	$181.97	$295.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $281.84	Facility		$107.15	$165.96	$281.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $1,348.96	Professional		$125.89	$177.83	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,265.80	Facility		$3,467.37	$3,467.37	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $229.09	Professional		$117.49	$154.88	$229.09