Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $275.42 / $1,819.70	Facility		$64.57	$275.42	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $117.49 / $251.19	Professional		$52.48	$117.49	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $120.23	Professional		$47.86	$77.62	$120.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Facility		$181.97	$181.97	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $151.36	Professional		$58.88	$77.62	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $181.97	Professional		$50.12	$93.33	$181.97
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $194.98	Professional		$70.79	$95.50	$194.98
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 $58.88 / $107.15 / $177.83	Professional		$58.88	$107.15	$177.83