Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $302.00 / $501.19	Facility		$104.71	$302.00	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $173.78	Professional		$85.11	$109.65	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $331.13 / $1,023.29	Facility		$309.03	$331.13	$1,023.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $154.88 / $213.80	Professional		$112.20	$154.88	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $398.11 / $891.25	Facility		$87.10	$398.11	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $204.17	Professional		$58.88	$83.18	$204.17
Medcost Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $208.93	Facility		$117.49	$141.25	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $154.88 / $186.21	Facility		$141.25	$154.88	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $173.78	Professional		$61.66	$85.11	$173.78