Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $102.33 / $16,982.44	Facility		$87.10	$102.33	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $288.40	Professional		$85.11	$87.10	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $93.33 / $302.00	Facility		$87.10	$93.33	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $107.15	Professional		$85.11	$87.10	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $87.10 / $87.10	Facility		$81.28	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $97.72	Professional		$87.10	$87.10	$97.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $100.00 / $162.18	Facility		$85.11	$100.00	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $371.54	Professional		$81.28	$91.20	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $102.33 / $112.20	Facility		$85.11	$102.33	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $97.72	Professional		$77.62	$87.10	$97.72