Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $263.03	Facility		$251.19	$251.19	$263.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $295.12	Professional		$208.93	$208.93	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $204.17 / $208.93	Facility		$199.53	$204.17	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $229.09	Professional		$208.93	$208.93	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $239.88	Professional		$204.17	$208.93	$239.88