Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,288.25 / $2,041.74	Facility		$141.25	$1,288.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $104.71 / $181.97	Professional		$52.48	$104.71	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $77.62 / $107.15	Professional		$44.67	$77.62	$107.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $165.96	Professional		$125.89	$125.89	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $208.93	Professional		$63.10	$114.82	$208.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $123.03	Professional		$89.13	$114.82	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $851.14	Facility		$128.82	$331.13	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $107.15 / $194.98	Professional		$54.95	$107.15	$194.98