Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.20 / $93.02 / $116.25	Facility		$68.20	$93.02	$116.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $78.95 / $113.68	Professional		$56.24	$78.95	$113.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $109.53 / $118.32	Professional		$109.53	$109.53	$118.32
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 $57.86 / $80.95 / $107.15	Professional		$57.86	$80.95	$107.15
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 $77.40 / $110.44 / $142.80	Professional		$77.40	$110.44	$142.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $125.96 / $125.96 / $136.07	Professional		$125.96	$125.96	$136.07
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 $70.00 / $101.80 / $149.09	Professional		$70.00	$101.80	$149.09