Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $794.33 / $2,041.74	Facility		$37.15	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $42.66 / $93.33	Professional		$25.12	$42.66	$93.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $60.26	Professional		$48.98	$50.12	$60.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Facility		$117.49	$117.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $42.66 / $75.86	Professional		$32.36	$42.66	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $85.11	Professional		$33.11	$51.29	$85.11
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 $128.82 / $331.13 / $776.25	Facility		$128.82	$331.13	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $74.13	Professional		$29.51	$44.67	$74.13