Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $269.15 / $323.59	Professional		$257.04	$269.15	$323.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $288.40 / $288.40	Professional		$87.10	$288.40	$288.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $87.10	Professional		$45.71	$57.54	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
Optum Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $295.12	Professional		$257.04	$257.04	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $295.12	Professional		$257.04	$257.04	$295.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40