Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.83 / $149.83 / $224.75	Facility		$149.83	$149.83	$224.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.60 / $149.83 / $164.81	Professional		$129.60	$149.83	$164.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.39 / $118.39 / $118.39	Professional		$118.39	$118.39	$118.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Facility		$147.02	$147.02	$147.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.02 / $147.02 / $147.02	Professional		$147.02	$147.02	$147.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.27 / $164.66 / $164.66	Facility		$142.27	$164.66	$164.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.66 / $164.66 / $164.66	Professional		$164.66	$164.66	$164.66
United Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $154.37 / $176.27	Professional		$139.66	$154.37	$176.27