Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $107.15 / $2,041.74	Facility		$57.54	$107.15	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $69.18 / $131.83	Professional		$39.81	$69.18	$131.83
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	52	$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $117.49	Professional		$41.69	$74.13	$117.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $245.47	Facility		$181.97	$181.97	$245.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $60.26 / $97.72	Professional		$45.71	$60.26	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $85.11 / $123.03	Professional		$69.18	$85.11	$123.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $134.90	Professional		$100.00	$120.23	$134.90
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 $43.65 / $70.79 / $120.23	Professional		$43.65	$70.79	$120.23