Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $147.91 / $398.11	Facility		$112.20	$147.91	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $173.78	Professional		$93.33	$102.33	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $95.50	Professional		$93.33	$95.50	$95.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $91.20 / $93.33	Facility		$89.13	$91.20	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $93.33 / $95.50	Professional		$89.13	$93.33	$95.50