Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $141.25	Facility		$123.03	$123.03	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $645.65	Professional		$107.15	$147.91	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $181.97	Professional		$138.04	$177.83	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $851.14	Facility		$239.88	$239.88	$851.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $223.87	Professional		$93.33	$141.25	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $239.88	Professional		$144.54	$144.54	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $151.36 / $151.36	Facility		$123.03	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $151.36	Professional		$112.20	$112.20	$151.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $190.55 / $537.03	Facility		$120.23	$190.55	$537.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $1,202.26	Professional		$83.18	$117.49	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $190.55 / $229.09	Facility		$97.72	$190.55	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $114.82 / $169.82	Professional		$83.18	$114.82	$169.82