Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.95 / $358.92 / $3,109.00	Facility		$163.95	$358.92	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $224.04 / $354.55	Professional		$122.76	$224.04	$354.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.07 / $216.07 / $282.44	Professional		$216.07	$216.07	$282.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $183.66 / $220.39	Facility		$183.66	$183.66	$220.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.58 / $221.44 / $475.78	Professional		$150.58	$221.44	$475.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.88 / $146.88 / $146.88	Facility		$146.88	$146.88	$146.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.26 / $260.86 / $495.09	Professional		$145.26	$260.86	$495.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $248.48 / $248.48 / $324.81	Professional		$248.48	$248.48	$324.81
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 $240.14 / $320.18 / $544.80	Professional		$240.14	$320.18	$544.80