Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $794.33 / $2,041.74	Facility		$251.19	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $478.63	Professional		$208.93	$245.47	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $162.18 / $398.11	Professional		$158.49	$162.18	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Facility		$208.93	$208.93	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $251.19 / $331.13	Professional		$245.47	$251.19	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $309.03 / $380.19	Professional		$199.53	$309.03	$380.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $457.09	Professional		$186.21	$186.21	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $776.25	Facility		$128.82	$346.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $407.38	Professional		$194.98	$251.19	$407.38