Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $234.42 / $251.19	Facility		$83.18	$234.42	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Professional		$83.18	$83.18	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $83.18	Professional		$63.10	$72.44	$83.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $138.04 / $158.49	Facility		$131.83	$138.04	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $131.83	Professional		$83.18	$95.50	$131.83