Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.96 / $112.05 / $112.05	Facility		$90.96	$112.05	$112.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.96 / $108.09 / $112.05	Professional		$90.96	$108.09	$112.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $91.89 / $198.55	Professional		$73.51	$91.89	$198.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $112.05 / $112.05	Facility		$79.30	$112.05	$112.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $36.26 / $38.39	Professional		$36.26	$36.26	$38.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $112.05 / $597.00	Facility		$79.30	$112.05	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $112.05 / $112.05	Professional		$112.05	$112.05	$112.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.20 / $28.20 / $31.52	Facility		$28.20	$28.20	$31.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $28.20 / $28.20	Professional		$28.20	$28.20	$28.20