Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,071.52 / $2,041.74	Facility		$114.82	$1,071.52	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $218.78	Professional		$72.44	$107.15	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
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 $83.18 / $109.65 / $162.18	Professional		$83.18	$109.65	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $173.78	Professional		$85.11	$128.82	$173.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
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 $70.79 / $107.15 / $169.82	Professional		$70.79	$107.15	$169.82