Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $309.03	Professional		$107.15	$194.98	$309.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $380.19	Professional		$288.40	$288.40	$380.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $363.08	Facility		$27.54	$27.54	$363.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $363.08	Professional		$27.54	$27.54	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $239.88 / $239.88	Professional		$28.84	$239.88	$239.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $131.83 / $245.47	Facility		$15.14	$131.83	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $194.98 / $302.00	Professional		$109.65	$194.98	$302.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $194.98	Facility		$190.55	$190.55	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $204.17	Professional		$194.98	$194.98	$204.17