Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $207.64	Professional		$173.03	$173.03	$207.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $172.55	Professional		$172.55	$172.55	$172.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,177.85 / $6,283.58 / $8,453.43	Facility		$5,177.85	$6,283.58	$8,453.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Professional		$173.03	$173.03	$173.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $203.95	Professional		$173.03	$173.03	$203.95
United Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $173.03 / $188.60	Professional		$147.08	$173.03	$188.60