Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.02 / $827.00 / $2,812.00	Facility		$103.02	$827.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $169.27 / $261.75	Professional		$71.48	$169.27	$261.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.57 / $151.57 / $163.86	Professional		$151.57	$151.57	$163.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $141.71	Facility		$118.09	$118.09	$141.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $113.31 / $318.29	Professional		$77.05	$113.31	$318.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $116.28 / $116.28	Facility		$116.28	$116.28	$116.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $176.19 / $384.73	Professional		$109.08	$176.19	$384.73
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $174.31 / $188.44	Professional		$174.31	$174.31	$188.44
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.88 / $234.22 / $438.19	Professional		$174.88	$234.22	$438.19