Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $794.33 / $2,041.74	Facility		$151.36	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $234.42	Professional		$100.00	$147.91	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $213.80	Professional		$125.89	$125.89	$213.80
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 $120.23 / $158.49 / $239.88	Professional		$120.23	$158.49	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $169.82 / $275.42	Professional		$107.15	$169.82	$275.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
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 $112.20 / $162.18 / $251.19	Professional		$112.20	$162.18	$251.19