Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $588.84 / $2,041.74	Facility		$346.74	$588.84	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $630.96	Professional		$275.42	$346.74	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $407.38 / $512.86	Professional		$251.19	$407.38	$512.86
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 $331.13 / $363.08 / $478.63	Professional		$331.13	$363.08	$478.63
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 $288.40 / $416.87 / $537.03	Professional		$288.40	$416.87	$537.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $588.84	Professional		$398.11	$478.63	$588.84
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 $263.03 / $338.84 / $562.34	Professional		$263.03	$338.84	$562.34