Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.17 / $118.15 / $11,513.00	Facility		$93.17	$118.15	$11,513.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $93.17 / $125.43	Professional		$91.34	$93.17	$125.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $106.49 / $106.49	Professional		$106.49	$106.49	$106.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $123.31 / $328.09	Facility		$91.34	$123.31	$328.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $114.18	Professional		$91.34	$91.34	$114.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $91.34 / $110.53	Facility		$86.17	$91.34	$110.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $115.89	Professional		$91.34	$91.34	$115.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $112.52 / $172.68	Facility		$91.02	$112.52	$172.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.94 / $96.25 / $389.52	Professional		$83.94	$96.25	$389.52
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $93.90 / $108.69	Professional		$91.34	$93.90	$108.69