Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $114.82 / $7,413.10	Facility		$74.13	$114.82	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $125.89	Professional		$74.13	$75.86	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $79.43 / $263.03	Facility		$74.13	$79.43	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $75.86 / $95.50	Professional		$74.13	$75.86	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $74.13 / $74.13	Facility		$70.79	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $85.11	Professional		$74.13	$74.13	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $144.54	Facility		$75.86	$97.72	$144.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $363.08	Professional		$75.86	$81.28	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $93.33 / $102.33	Facility		$75.86	$93.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $75.86 / $89.13	Professional		$69.18	$75.86	$89.13