Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $2,041.74	Facility		$61.66	$117.49	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $109.65 / $190.55	Professional		$43.65	$109.65	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $154.88	Professional		$85.11	$109.65	$154.88
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 $51.29 / $67.61 / $158.49	Professional		$51.29	$67.61	$158.49
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 $46.77 / $89.13 / $158.49	Professional		$46.77	$89.13	$158.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $177.83 / $190.55	Professional		$162.18	$177.83	$190.55
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 $48.98 / $83.18 / $158.49	Professional		$48.98	$83.18	$158.49