Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,258.93 / $2,754.23	Facility		$165.96	$1,258.93	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $169.82 / $354.81	Professional		$79.43	$169.82	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $93.33 / $114.82	Professional		$67.61	$93.33	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,621.81	Facility		$1,023.29	$1,202.26	$1,621.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $239.88	Professional		$102.33	$190.55	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $169.82 / $338.84	Professional		$89.13	$169.82	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,698.24 / $3,090.30	Facility		$630.96	$1,698.24	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $138.04 / $263.03	Professional		$70.79	$138.04	$263.03