Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.89 / $803.00 / $2,812.00	Facility		$91.89	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $92.31 / $129.96	Professional		$63.67	$92.31	$129.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.95 / $161.88 / $189.67	Professional		$101.95	$161.88	$189.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $104.73 / $152.86	Professional		$71.22	$104.73	$152.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.90 / $447.90 / $447.90	Facility		$447.90	$447.90	$447.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $116.28 / $187.27	Professional		$74.23	$116.28	$187.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $186.17 / $218.12	Professional		$117.24	$186.17	$218.12
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.08 / $123.79 / $216.37	Professional		$88.08	$123.79	$216.37