Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $131.83	Professional		$57.54	$70.79	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $93.33 / $112.20	Professional		$15.14	$93.33	$112.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $89.13 / $199.53	Facility		$85.11	$89.13	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $144.54	Professional		$64.57	$64.57	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $64.57 / $151.36	Facility		$37.15	$64.57	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $60.26 / $89.13	Professional		$37.15	$60.26	$89.13