Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $794.33 / $2,041.74	Facility		$33.88	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $25.70 / $50.12	Professional		$12.88	$25.70	$50.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $47.86	Professional		$28.18	$28.18	$47.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $43.65	Professional		$33.11	$33.11	$43.65
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 $15.49 / $30.20 / $54.95	Professional		$15.49	$30.20	$54.95
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $851.14	Facility		$128.82	$331.13	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $33.11 / $54.95	Professional		$17.78	$33.11	$54.95