Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.85 / $174.19 / $852.00	Facility		$30.85	$174.19	$852.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.04 / $106.31 / $246.75	Professional		$105.04	$106.31	$246.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $125.00 / $177.87	Professional		$48.60	$125.00	$177.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.62 / $226.84 / $423.49	Facility		$50.62	$226.84	$423.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.79 / $127.05 / $165.17	Professional		$116.79	$127.05	$165.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Facility		$109.99	$109.99	$109.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $109.99 / $109.99	Professional		$109.99	$109.99	$109.99
Medcost Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $105.04 / $140.91	Facility		$74.98	$105.04	$140.91
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $450.58	Professional		$450.58	$450.58	$450.58