Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $977.24 / $2,041.74	Facility		$109.65	$977.24	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $144.54	Professional		$56.23	$91.20	$144.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $162.18 / $389.05	Professional	50	$158.49	$162.18	$389.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $91.20 / $120.23	Professional		$85.11	$91.20	$120.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $117.49 / $181.97 / $323.59	Professional	50	$117.49	$181.97	$323.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $144.54	Professional		$109.65	$109.65	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $120.23 / $194.98	Professional		$72.44	$120.23	$194.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $134.90 / $208.93 / $371.54	Professional	50	$134.90	$208.93	$371.54
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 $58.88 / $95.50 / $173.78	Professional		$58.88	$95.50	$173.78