Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $187.00 / $292.19	Facility		$187.00	$187.00	$292.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $175.54 / $292.19 / $362.54	Professional		$175.54	$292.19	$362.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.26 / $250.26 / $584.00	Professional		$250.26	$250.26	$584.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $317.61 / $317.61 / $317.61	Facility		$317.61	$317.61	$317.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.61 / $317.61 / $317.61	Professional		$317.61	$317.61	$317.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $209.59	Professional		$153.00	$153.00	$209.59
United Facility/Professional Facility Modifier Low / Median / High Price $219.98 / $219.98 / $256.52	Facility		$219.98	$219.98	$256.52
United Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $166.47 / $263.32	Professional		$110.98	$166.47	$263.32