Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $128.82 / $707.95	Facility		$87.10	$128.82	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $281.84	Professional		$83.18	$102.33	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $691.83	Facility		$199.53	$199.53	$691.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $181.97	Professional		$102.33	$131.83	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $199.53	Professional		$117.49	$117.49	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $67.61	Professional		$57.54	$57.54	$67.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $154.88 / $436.52	Facility		$97.72	$154.88	$436.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $977.24	Professional		$67.61	$97.72	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $186.21	Facility		$114.82	$154.88	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $138.04	Professional		$67.61	$97.72	$138.04