Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $263.03 / $309.03	Facility		$204.17	$263.03	$309.03
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $363.08 / $1,584.89	Facility		$28.18	$363.08	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $295.12 / $426.58	Facility		$165.96	$295.12	$426.58
Optum Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $478.63	Facility		$204.17	$295.12	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $478.63	Facility		$204.17	$295.12	$478.63