Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.46 / $1,223.00 / $1,896.00	Facility		$202.46	$1,223.00	$1,896.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.69 / $94.59 / $202.46	Professional		$35.69	$94.59	$202.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $40.04 / $124.11	Professional		$40.04	$40.04	$124.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $404.20 / $489.32 / $658.29	Facility		$404.20	$489.32	$658.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $101.92 / $169.92	Professional		$58.04	$101.92	$169.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $110.73 / $228.63	Professional		$39.77	$110.73	$228.63
United Facility/Professional Facility Modifier Low / Median / High Price $241.00 / $847.00 / $1,326.00	Facility		$241.00	$847.00	$1,326.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $118.05 / $199.67	Professional		$92.03	$118.05	$199.67