Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.31 / $202.91 / $202.92	Facility		$159.31	$202.91	$202.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $117.25 / $202.92	Professional		$89.47	$117.25	$202.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $99.95 / $117.59	Professional		$92.40	$99.95	$117.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.32 / $304.25 / $409.31	Facility		$251.32	$304.25	$409.31
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $376.99 / $456.37 / $613.97	Facility	50	$376.99	$456.37	$613.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $145.19 / $172.78	Professional		$106.50	$145.19	$172.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $154.21 / $359.98	Professional		$102.29	$154.21	$359.98
United Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $850.00 / $1,349.00	Facility		$241.00	$850.00	$1,349.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.69 / $127.54 / $226.78	Professional		$100.69	$127.54	$226.78