Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $59.64 / $112.61	Facility		$12.46	$59.64	$112.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $87.60 / $133.71	Professional		$66.29	$87.60	$133.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.52 / $123.52 / $123.52	Professional		$123.52	$123.52	$123.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.47 / $169.54 / $745.35	Facility		$161.47	$169.54	$745.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.30 / $74.05 / $130.63	Professional		$71.30	$74.05	$130.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $100.50	Facility		$77.09	$77.09	$100.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.28 / $56.28 / $85.47	Professional		$56.28	$56.28	$85.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.87 / $121.74 / $645.14	Facility		$67.87	$121.74	$645.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $80.56 / $196.26	Professional		$53.70	$80.56	$196.26
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.84 / $119.42	Professional		$53.70	$79.84	$119.42