Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $794.33 / $2,511.89	Facility		$85.11	$794.33	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $208.93	Professional		$67.61	$95.50	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $138.04	Professional		$66.07	$93.33	$138.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $281.84	Facility		$208.93	$208.93	$281.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $125.89	Professional		$79.43	$93.33	$125.89
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 $57.54 / $85.11 / $123.03	Professional		$57.54	$85.11	$123.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $138.04 / $165.96	Professional		$75.86	$138.04	$165.96
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 $64.57 / $85.11 / $138.04	Professional		$64.57	$85.11	$138.04