Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $44.43 / $67.47	Facility		$24.30	$44.43	$67.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.21 / $31.12 / $51.41	Professional		$19.21	$31.12	$51.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $41.53 / $41.53	Professional		$41.53	$41.53	$41.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.46 / $58.46 / $70.15	Facility		$58.46	$58.46	$70.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $29.97 / $41.11	Professional		$20.38	$29.97	$41.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.34 / $106.34 / $106.34	Facility		$106.34	$106.34	$106.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $44.02 / $75.65	Professional		$28.46	$44.02	$75.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $47.76 / $47.76	Professional		$47.76	$47.76	$47.76
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 $27.94 / $48.14 / $69.62	Professional		$27.94	$48.14	$69.62