Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $794.33 / $2,041.74	Facility		$125.89	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $562.34	Professional		$102.33	$190.55	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $275.42	Professional		$204.17	$251.19	$275.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $302.00	Facility		$218.78	$218.78	$302.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $288.40	Professional		$117.49	$154.88	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $204.17 / $512.86	Facility		$123.03	$204.17	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $190.55 / $309.03	Professional		$109.65	$190.55	$309.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $288.40 / $316.23	Professional		$234.42	$288.40	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $323.59 / $776.25	Facility		$97.72	$323.59	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $177.83 / $288.40	Professional		$102.33	$177.83	$288.40