Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $93.07 / $126.58	Facility		$69.84	$93.07	$126.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.80 / $93.07	Professional		$71.37	$72.80	$93.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $67.63 / $67.63	Professional		$67.63	$67.63	$67.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $96.35 / $256.36	Facility		$71.37	$96.35	$256.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $89.21	Professional		$71.37	$71.37	$89.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.33 / $71.37 / $86.37	Facility		$67.33	$71.37	$86.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $90.90	Professional		$71.37	$71.37	$90.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.84 / $83.80 / $132.49	Facility		$69.84	$83.80	$132.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $74.03 / $288.38	Professional		$63.21	$74.03	$288.38
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $84.93	Professional		$71.37	$71.37	$84.93