Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $794.33 / $2,041.74	Facility		$138.04	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $223.87	Professional		$104.71	$158.49	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Facility		$660.69	$660.69	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $263.03	Professional		$123.03	$162.18	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $257.04	Professional		$109.65	$169.82	$257.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $2,089.30	Facility		$331.13	$912.01	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $275.42	Professional		$112.20	$173.78	$275.42