Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $758.58 / $1,819.70	Facility		$109.65	$758.58	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $158.49 / $295.12	Professional		$79.43	$158.49	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $104.71 / $144.54	Professional		$70.79	$104.71	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $114.82 / $245.47	Professional		$87.10	$114.82	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $977.24	Facility		$363.08	$512.86	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $288.40	Professional		$87.10	$154.88	$288.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $147.91 / $309.03	Professional		$138.04	$147.91	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $4,365.16	Facility		$537.03	$1,288.25	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $288.40	Professional		$83.18	$158.49	$288.40