Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $51.29 / $70.79	Facility		$26.92	$51.29	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $51.29	Professional		$15.85	$26.92	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $26.30	Professional		$25.12	$25.12	$26.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $162.18	Facility		$117.49	$117.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $41.69	Professional		$19.50	$25.70	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $74.13	Professional		$21.88	$41.69	$74.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $776.25	Facility		$128.82	$331.13	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $34.67 / $64.57	Professional		$18.62	$34.67	$64.57