Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.99 / $572.00 / $2,500.00	Facility		$46.99	$572.00	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $126.38 / $231.86	Professional		$28.76	$126.38	$231.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.76 / $50.11 / $55.91	Professional		$43.76	$50.11	$55.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.50 / $237.50 / $285.00	Facility		$237.50	$237.50	$285.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $47.38 / $187.72	Professional		$32.22	$47.38	$187.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.04 / $131.04 / $131.04	Facility		$131.04	$131.04	$131.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $65.70 / $273.75	Professional		$37.78	$65.70	$273.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $50.32 / $58.40 / $64.30	Professional		$50.32	$58.40	$64.30
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $144.10 / $205.12 / $291.98	Professional		$144.10	$205.12	$291.98