Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $794.33 / $2,041.74	Facility		$165.96	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $190.55	Professional		$120.23	$151.36	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $208.93	Professional		$162.18	$162.18	$208.93
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 $141.25 / $177.83 / $234.42	Professional		$141.25	$177.83	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $275.42	Professional		$114.82	$194.98	$275.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $363.08 / $1,023.29	Facility		$128.82	$363.08	$1,023.29
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $263.03	Professional		$128.82	$169.82	$263.03