Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $77.28 / $210.78	Facility		$43.74	$77.28	$210.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $80.54 / $142.47	Professional		$33.97	$80.54	$142.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $127.14 / $127.14	Professional		$127.14	$127.14	$127.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.36 / $281.36 / $337.63	Facility		$281.36	$281.36	$337.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $57.91 / $135.43	Professional		$39.38	$57.91	$135.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $99.52 / $207.80	Professional		$50.10	$99.52	$207.80
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $124.28 / $124.28 / $124.28	Professional		$124.28	$124.28	$124.28
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.94 / $138.52 / $204.77	Professional		$86.94	$138.52	$204.77