Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $208.93 / $208.93	Facility		$85.11	$208.93	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $131.83 / $208.93	Professional		$87.10	$131.83	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Professional		$60.26	$60.26	$64.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $302.00 / $407.38	Facility		$251.19	$302.00	$407.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $165.96 / $194.98	Professional		$117.49	$165.96	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $288.40 / $323.59	Facility		$151.36	$288.40	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $263.03	Professional		$112.20	$147.91	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $117.49 / $158.49	Facility		$79.43	$117.49	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $177.83	Professional		$75.86	$134.90	$177.83