Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $794.33 / $2,041.74	Facility		$169.82	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $269.15	Professional		$134.90	$165.96	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
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 $158.49 / $177.83 / $239.88	Professional		$158.49	$177.83	$239.88
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 $141.25 / $213.80 / $269.15	Professional		$141.25	$213.80	$269.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
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 $131.83 / $173.78 / $275.42	Professional		$131.83	$173.78	$275.42