Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $2,041.74	Facility		$134.90	$177.83	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $177.83	Professional		$102.33	$141.25	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $223.87	Professional		$177.83	$204.17	$223.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $251.19	Facility		$181.97	$181.97	$251.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $144.54 / $194.98	Professional		$112.20	$144.54	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $245.47	Professional		$123.03	$186.21	$245.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $239.88 / $257.04	Professional		$204.17	$239.88	$257.04
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 $97.72 / $134.90 / $245.47	Professional		$97.72	$134.90	$245.47