Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $173.78 / $398.11	Facility		$74.13	$173.78	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $173.78	Professional		$63.10	$69.18	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $58.88 / $123.03	Professional		$38.02	$58.88	$123.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $93.33 / $169.82	Facility		$54.95	$93.33	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $91.20 / $186.21	Professional		$38.90	$91.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $85.11 / $114.82	Facility		$75.86	$85.11	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $57.54 / $251.19	Professional		$35.48	$57.54	$251.19