Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $85.11 / $87.10	Facility		$64.57	$85.11	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Professional		$69.18	$69.18	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $616.60 / $1,047.13	Facility		$173.78	$616.60	$1,047.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $91.20 / $91.20	Professional		$69.18	$91.20	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $151.36	Facility		$75.86	$75.86	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $72.44 / $77.62	Facility		$69.18	$72.44	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $93.33	Professional		$81.28	$81.28	$93.33