Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $263.03 / $524.81	Facility		$109.65	$263.03	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $181.97	Professional		$75.86	$109.65	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $141.25	Professional		$66.07	$74.13	$141.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $933.25	Facility		$114.82	$165.96	$933.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $165.96	Professional		$64.57	$93.33	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $354.81 / $812.83	Facility		$93.33	$354.81	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $239.88	Professional		$64.57	$87.10	$239.88
Medcost Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $263.03	Facility		$112.20	$141.25	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $169.82	Facility		$128.82	$141.25	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $151.36	Professional		$60.26	$87.10	$151.36