Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.64 / $1,146.52 / $2,812.00	Facility		$263.64	$1,146.52	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $417.67 / $594.79	Professional		$77.31	$417.67	$594.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $117.84 / $117.84	Professional		$117.84	$117.84	$117.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $120.39 / $497.02	Professional		$81.87	$120.39	$497.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.12 / $596.29 / $891.39	Professional		$131.12	$596.29	$891.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $135.52 / $135.52 / $135.52	Professional		$135.52	$135.52	$135.52
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $439.84 / $592.76 / $880.89	Professional		$439.84	$592.76	$880.89