Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $794.33 / $2,041.74	Facility		$107.15	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $204.17 / $363.08	Professional		$79.43	$204.17	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
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 $87.10 / $117.49 / $398.11	Professional		$87.10	$117.49	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $457.09 / $933.25	Facility		$363.08	$457.09	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $173.78 / $416.87	Professional		$85.11	$173.78	$416.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,230.27 / $2,630.27	Facility		$537.03	$1,230.27	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $389.05	Professional		$79.43	$177.83	$389.05