Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $302.00	Professional		$109.65	$151.36	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $128.82 / $177.83	Professional		$102.33	$128.82	$177.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $177.83	Professional		$107.15	$151.36	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $128.82 / $199.53	Professional		$70.79	$128.82	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $257.04	Facility		$125.89	$125.89	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $208.93	Professional		$95.50	$134.90	$208.93