Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.43 / $89.57 / $207.45	Facility		$58.43	$89.57	$207.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $71.54 / $104.27	Professional		$43.78	$71.54	$104.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $78.61 / $102.76	Professional		$78.61	$78.61	$102.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.24 / $148.24 / $177.89	Facility		$148.24	$148.24	$177.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $81.54 / $126.77	Professional		$55.45	$81.54	$126.77
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 $62.06 / $88.22 / $145.10	Professional		$62.06	$88.22	$145.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $118.17 / $118.17 / $118.17	Professional		$118.17	$118.17	$118.17
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 $69.92 / $94.56 / $163.24	Professional		$69.92	$94.56	$163.24