Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.54 / $110.07 / $113.57	Facility		$81.54	$110.07	$113.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.39 / $87.93 / $133.76	Professional		$60.39	$87.93	$133.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.18 / $139.61 / $142.82	Professional		$93.18	$139.61	$142.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $292.80	Facility		$244.00	$244.00	$292.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.98 / $103.71 / $137.26	Professional		$71.98	$103.71	$137.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.70 / $236.70 / $236.70	Facility		$236.70	$236.70	$236.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $117.25 / $162.60	Professional		$86.03	$117.25	$162.60
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $160.55 / $160.55 / $160.55	Professional		$160.55	$160.55	$160.55
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.82 / $113.38 / $179.14	Professional		$82.82	$113.38	$179.14