Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $194.98 / $562.34	Facility		$81.28	$194.98	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $295.12	Professional		$79.43	$104.71	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $83.18 / $91.20	Professional		$81.28	$83.18	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $186.21	Facility		$114.82	$138.04	$186.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $87.10	Professional		$81.28	$81.28	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $295.12	Professional		$81.28	$81.28	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $102.33	Facility		$77.62	$77.62	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $83.18	Professional		$77.62	$81.28	$83.18