Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $645.65 / $1,513.56	Facility		$199.53	$645.65	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $467.74	Professional		$169.82	$223.87	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $933.25 / $1,659.59	Facility		$446.68	$933.25	$1,659.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $457.09	Professional		$257.04	$346.74	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $660.69 / $2,089.30	Facility		$165.96	$660.69	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $169.82 / $467.74	Professional		$131.83	$169.82	$467.74
Medcost Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $575.44	Facility		$199.53	$295.12	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $257.04 / $309.03	Facility		$229.09	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $309.03	Professional		$107.15	$173.78	$309.03