Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $245.47 / $331.13	Facility		$162.18	$245.47	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $134.90 / $331.13	Professional		$123.03	$134.90	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $204.17 / $239.88	Professional		$109.65	$204.17	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $123.03 / $331.13	Facility		$107.15	$123.03	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $169.82 / $316.23	Professional		$74.13	$169.82	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $162.18 / $223.87	Facility		$147.91	$162.18	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $501.19	Professional		$69.18	$112.20	$501.19