Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $147.91	Facility		$97.72	$97.72	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $97.72 / $128.82	Professional		$40.74	$97.72	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $102.33	Professional		$66.07	$89.13	$102.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $95.50 / $95.50	Facility		$39.81	$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 $87.10 / $87.10 / $93.33	Facility		$87.10	$87.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $112.20	Professional		$93.33	$102.33	$112.20