Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $257.04 / $933.25	Facility		$128.82	$257.04	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $194.98	Professional		$112.20	$131.83	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $114.82	Professional		$81.28	$114.82	$114.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,122.02 / $1,202.26	Facility		$363.08	$1,122.02	$1,202.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $162.18 / $204.17	Professional		$93.33	$162.18	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $416.87 / $933.25	Facility		$107.15	$416.87	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $169.82	Professional		$74.13	$104.71	$169.82
Medcost Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $154.88 / $338.84	Facility		$114.82	$154.88	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $162.18 / $194.98	Facility		$147.91	$162.18	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $190.55	Professional		$69.18	$112.20	$190.55