Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.25 / $170.82 / $3,109.00	Facility		$86.25	$170.82	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $104.95 / $170.82	Professional		$62.64	$104.95	$170.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $215.50 / $233.88	Professional		$215.50	$215.50	$233.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $455.30	Facility		$379.42	$379.42	$455.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $109.54 / $205.02	Professional		$74.48	$109.54	$205.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $127.97 / $218.71	Professional		$67.88	$127.97	$218.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $247.83 / $247.83	Professional		$210.66	$247.83	$247.83
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $162.76 / $266.36	Professional		$106.83	$162.76	$266.36