Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,513.56 / $2,089.30	Professional		$707.95	$1,513.56	$2,089.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,073.80	Professional		$1,905.46	$1,905.46	$4,073.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $2,818.38	Facility		$213.80	$213.80	$2,818.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $2,818.38	Professional		$213.80	$213.80	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,445.44 / $1,445.44	Facility		$190.55	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,445.44 / $1,548.82	Professional		$190.55	$1,445.44	$1,548.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,621.81	Professional		$1,513.56	$1,513.56	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $870.96 / $1,621.81	Facility		$100.00	$870.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,862.09	Professional		$851.14	$1,288.25	$1,862.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,513.56	Facility		$1,479.11	$1,479.11	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $1,621.81	Professional		$1,479.11	$1,513.56	$1,621.81