Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $144.54 / $2,041.74	Facility		$79.43	$144.54	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $117.49 / $154.88	Professional		$53.70	$117.49	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $223.87	Professional		$109.65	$134.90	$223.87
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 $63.10 / $83.18 / $181.97	Professional		$63.10	$83.18	$181.97
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 $56.23 / $112.20 / $190.55	Professional		$56.23	$112.20	$190.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $257.04	Professional		$218.78	$218.78	$257.04
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 $61.66 / $104.71 / $186.21	Professional		$61.66	$104.71	$186.21