Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $794.33 / $2,041.74	Facility		$104.71	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $181.97 / $288.40	Professional		$75.86	$181.97	$288.40
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $109.65 / $114.82 / $208.93	Professional	50	$109.65	$114.82	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $331.13	Professional		$112.20	$125.89	$331.13
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $169.82 / $169.82 / $169.82	Professional	50	$169.82	$169.82	$169.82
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 $77.62 / $102.33 / $316.23	Professional		$77.62	$102.33	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $177.83 / $371.54	Professional		$109.65	$177.83	$371.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $380.19	Professional		$128.82	$144.54	$380.19
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 $74.13 / $169.82 / $371.54	Professional		$74.13	$169.82	$371.54