Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,258.93 / $4,168.69	Facility		$109.65	$1,258.93	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $380.19	Professional		$109.65	$177.83	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $144.54	Professional		$120.23	$120.23	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,398.83	Facility		$1,513.56	$1,778.28	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $154.88	Professional		$69.18	$112.20	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $177.83 / $416.87	Professional		$83.18	$177.83	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,737.80 / $3,090.30	Facility		$645.65	$1,737.80	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $131.83 / $169.82	Professional		$95.50	$131.83	$169.82