Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $251.19 / $275.42	Facility		$138.04	$251.19	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $112.20 / $275.42	Professional		$102.33	$112.20	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
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 $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $93.33 / $104.71	Facility		$89.13	$93.33	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $107.15 / $199.53	Professional		$58.88	$107.15	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $165.96	Facility		$123.03	$123.03	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $309.03	Professional		$57.54	$81.28	$309.03