Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $426.58	Facility		$141.25	$281.84	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $218.78	Professional		$141.25	$141.25	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $69.18 / $169.82	Professional		$28.84	$69.18	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $44.67 / $60.26	Facility		$38.02	$44.67	$60.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $109.65	Professional		$85.11	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $120.23 / $309.03	Facility		$112.20	$120.23	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $93.33 / $141.25	Professional		$64.57	$93.33	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $128.82 / $141.25	Facility		$60.26	$128.82	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $158.49	Professional		$85.11	$95.50	$158.49