Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $794.33 / $2,041.74	Facility		$72.44	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $75.86 / $107.15	Professional		$50.12	$75.86	$107.15
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 $117.49 / $117.49 / $162.18	Facility		$117.49	$117.49	$162.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $114.82	Professional		$53.70	$70.79	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $107.15 / $162.18	Professional		$72.44	$107.15	$162.18
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 $128.82 / $331.13 / $776.25	Facility		$128.82	$331.13	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $147.91	Professional		$50.12	$81.28	$147.91