Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.31 / $194.31 / $303.61	Facility		$194.31	$194.31	$303.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.31 / $297.98 / $387.24	Professional		$194.31	$297.98	$387.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.06 / $260.06 / $277.39	Professional		$260.06	$260.06	$277.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.03 / $330.03 / $330.03	Facility		$330.03	$330.03	$330.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.03 / $330.03 / $330.03	Professional		$330.03	$330.03	$330.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $170.08 / $232.98	Professional		$170.08	$170.08	$232.98
United Facility/Professional Professional Modifier Low / Median / High Price $115.32 / $172.98 / $273.89	Professional		$115.32	$172.98	$273.89