Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $794.33 / $2,041.74	Facility		$194.98	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $204.17 / $354.81	Professional		$114.82	$204.17	$354.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $158.49 / $269.15	Professional		$102.33	$158.49	$269.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $524.81	Facility		$380.19	$380.19	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $323.59	Professional		$162.18	$213.80	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $331.13	Professional		$144.54	$218.78	$331.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $436.52	Professional		$147.91	$213.80	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $363.08 / $891.25	Facility		$128.82	$363.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $346.74	Professional		$151.36	$223.87	$346.74