Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $123.03 / $2,041.74	Facility		$66.07	$123.03	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $97.72 / $173.78	Professional		$41.69	$97.72	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $177.83	Professional		$70.79	$109.65	$177.83
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 $48.98 / $66.07 / $162.18	Professional		$48.98	$66.07	$162.18
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 $44.67 / $89.13 / $162.18	Professional		$44.67	$89.13	$162.18
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $218.78	Professional		$165.96	$194.98	$218.78
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 / $87.10 / $162.18	Professional		$48.98	$87.10	$162.18