Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $28.84 / $147.91	Facility		$4.47	$28.84	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $295.12	Professional		$100.00	$123.03	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Professional		$144.54	$144.54	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $891.25	Facility		$251.19	$251.19	$891.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $234.42	Professional		$117.49	$123.03	$234.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $251.19	Professional		$151.36	$151.36	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $125.89	Professional		$91.20	$91.20	$125.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $194.98 / $1,047.13	Facility		$114.82	$194.98	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $1,230.27	Professional		$81.28	$123.03	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $199.53 / $213.80	Facility		$93.33	$199.53	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $177.83	Professional		$81.28	$114.82	$177.83