Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $199.53 / $489.78	Facility		$69.18	$199.53	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $67.61	Professional		$52.48	$56.23	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $67.61 / $69.18	Professional		$39.81	$67.61	$69.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $72.44 / $346.74	Facility		$33.11	$72.44	$346.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $81.28	Professional		$63.10	$67.61	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $66.07 / $72.44	Facility		$54.95	$66.07	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $60.26	Professional		$56.23	$56.23	$60.26