Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $794.33 / $2,041.74	Facility		$56.23	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $56.23 / $95.50	Professional		$23.99	$56.23	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $134.90	Professional		$60.26	$60.26	$134.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Facility		$181.97	$181.97	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $120.23	Professional		$29.51	$38.90	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $100.00	Professional		$25.12	$53.70	$100.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $776.25	Facility		$128.82	$331.13	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $58.88 / $109.65	Professional		$28.84	$58.88	$109.65