Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $134.04	Facility		$42.13	$42.13	$134.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $46.34	Professional		$42.13	$42.13	$46.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.07 / $21.07 / $21.07	Professional		$21.07	$21.07	$21.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Facility		$42.13	$42.13	$42.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $42.13 / $60.50	Professional		$19.00	$42.13	$60.50
United Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $21.07 / $63.20	Professional		$17.69	$21.07	$63.20