Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $794.33 / $2,041.74	Facility		$87.10	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $91.20 / $158.49	Professional		$48.98	$91.20	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $154.88	Professional		$43.65	$87.10	$154.88
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 $52.48 / $69.18 / $128.82	Professional		$52.48	$69.18	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $114.82 / $173.78	Professional		$70.79	$114.82	$173.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $177.83	Professional		$162.18	$165.96	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $776.25	Facility		$128.82	$346.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $93.33 / $165.96	Professional		$50.12	$93.33	$165.96