Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $217.40 / $404.89	Facility		$172.55	$217.40	$404.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $176.49 / $228.27	Professional		$173.03	$176.49	$228.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $172.55	Professional		$172.55	$172.55	$172.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $233.59 / $621.52	Facility		$173.03	$233.59	$621.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $216.29	Professional		$173.03	$173.03	$216.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $173.03	Facility		$163.24	$163.24	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $217.40	Professional		$173.03	$173.03	$217.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $162.83 / $202.40 / $309.89	Facility		$162.83	$202.40	$309.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $182.90 / $2,975.90	Professional		$158.75	$182.90	$2,975.90
United Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $170.61 / $173.03 / $205.91	Professional		$170.61	$173.03	$205.91