Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $562.34 / $3,090.30	Facility		$173.78	$562.34	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $288.40 / $1,905.46	Professional		$169.82	$288.40	$1,905.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $181.97 / $478.63	Facility		$169.82	$181.97	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $177.83 / $223.87	Professional		$169.82	$177.83	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $169.82 / $169.82	Facility		$162.18	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $194.98	Professional		$169.82	$169.82	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $218.78 / $537.03	Facility		$154.88	$218.78	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $165.96 / $2,454.71	Professional		$154.88	$165.96	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $208.93 / $229.09	Facility		$173.78	$208.93	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $204.17	Professional		$154.88	$173.78	$204.17