Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $975.00 / $2,812.00	Facility		$103.35	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.81 / $101.76 / $142.27	Professional		$72.81	$101.76	$142.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.21 / $117.21 / $176.70	Professional		$117.21	$117.21	$176.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.10 / $120.73 / $166.82	Professional		$82.10	$120.73	$166.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $136.65 / $136.65	Facility		$136.65	$136.65	$136.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.81 / $133.19 / $205.63	Professional		$85.81	$133.19	$205.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $134.79 / $134.79 / $134.79	Professional		$134.79	$134.79	$134.79
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 $103.79 / $128.74 / $222.43	Professional		$103.79	$128.74	$222.43