Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.75 / $649.75 / $1,035.54	Facility		$649.75	$649.75	$1,035.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $649.75 / $791.01 / $1,045.70	Professional		$649.75	$791.01	$1,045.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,194.19 / $1,194.19 / $1,194.19	Professional		$1,194.19	$1,194.19	$1,194.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,123.13 / $1,123.13 / $1,123.13	Facility		$1,123.13	$1,123.13	$1,123.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,123.13 / $1,123.13 / $1,123.13	Professional		$1,123.13	$1,123.13	$1,123.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $854.15	Professional		$623.53	$623.53	$854.15
United Facility/Professional Professional Modifier Low / Median / High Price $420.18 / $774.44 / $1,290.74	Professional		$420.18	$774.44	$1,290.74