Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $794.33 / $2,041.74	Facility		$64.57	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $112.20 / $177.83	Professional		$45.71	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $190.55	Professional		$43.65	$43.65	$190.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,148.15	Facility		$851.14	$851.14	$1,148.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $177.83	Professional		$51.29	$67.61	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $363.08 / $588.84	Facility		$89.13	$363.08	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $208.93	Professional		$48.98	$107.15	$208.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $218.78	Professional		$50.12	$50.12	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $831.76 / $2,630.27	Facility		$302.00	$831.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $97.72 / $190.55	Professional		$45.71	$97.72	$190.55