Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $575.44 / $1,862.09	Facility		$38.90	$575.44	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $37.15 / $67.61	Professional		$19.05	$37.15	$67.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $42.66 / $50.12	Professional		$28.18	$42.66	$50.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $79.43	Facility		$58.88	$58.88	$79.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $60.26	Professional		$23.99	$32.36	$60.26
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 $21.38 / $39.81 / $66.07	Professional		$21.38	$39.81	$66.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $275.42 / $776.25	Facility		$95.50	$275.42	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $40.74 / $63.10	Professional		$24.55	$40.74	$63.10