Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $588.84 / $1,479.11	Facility		$323.59	$588.84	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $501.19	Professional		$275.42	$354.81	$501.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $194.98 / $2,818.38	Facility		$28.84	$194.98	$2,818.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $537.03	Professional		$208.93	$302.00	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,047.13 / $2,398.83	Facility		$269.15	$1,047.13	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $776.25	Professional		$208.93	$281.84	$776.25
Medcost Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $416.87 / $851.14	Facility		$323.59	$416.87	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $416.87 / $501.19	Facility		$371.54	$416.87	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $281.84 / $489.78	Professional		$173.78	$281.84	$489.78