Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.91 / $275.83 / $527.52	Facility		$83.91	$275.83	$527.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $84.93 / $121.84	Professional		$83.91	$84.93	$121.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.80 / $124.41 / $208.32	Professional		$86.80	$124.41	$208.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $115.73 / $150.44	Professional		$102.33	$115.73	$150.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Facility		$86.98	$86.98	$86.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Medcost Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $84.93 / $115.29	Facility		$48.00	$84.93	$115.29
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $93.80	Professional		$85.27	$85.27	$93.80