Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $186.21	Facility		$117.49	$117.49	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $186.21	Professional		$93.33	$112.20	$186.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $169.82	Professional		$120.23	$154.88	$169.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $141.25	Professional		$102.33	$102.33	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $169.82 / $257.04	Facility		$63.10	$169.82	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $100.00 / $144.54	Professional		$63.10	$100.00	$144.54