Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.76 / $885.00 / $2,600.00	Facility		$164.76	$885.00	$2,600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $210.22 / $396.85	Professional		$96.78	$210.22	$396.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $235.91 / $235.91	Professional		$96.78	$235.91	$235.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,138.81 / $1,382.00 / $1,859.23	Facility		$1,138.81	$1,382.00	$1,859.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.90 / $285.50 / $371.62	Professional		$149.90	$285.50	$371.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $180.12 / $388.27	Professional		$114.30	$180.12	$388.27
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,213.00 / $2,488.00	Facility		$375.00	$1,213.00	$2,488.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.57 / $243.09 / $430.36	Professional		$167.57	$243.09	$430.36