Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $2,041.74	Facility		$91.20	$165.96	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $117.49 / $245.47	Professional		$64.57	$117.49	$245.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $162.18	Professional		$85.11	$134.90	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $288.40	Facility		$213.80	$213.80	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $169.82	Professional		$74.13	$97.72	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $109.65 / $199.53	Professional		$61.66	$109.65	$199.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $186.21	Professional		$181.97	$181.97	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $776.25	Facility		$128.82	$346.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $117.49 / $194.98	Professional		$67.61	$117.49	$194.98