Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $794.33 / $1,819.70	Facility		$112.20	$794.33	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $208.93 / $331.13	Professional		$91.20	$208.93	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $398.11	Professional		$77.62	$138.04	$398.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Facility		$870.96	$870.96	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $141.25 / $338.84	Professional		$107.15	$141.25	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $194.98 / $380.19	Professional		$107.15	$194.98	$380.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $389.05	Professional		$147.91	$158.49	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $2,511.89	Facility		$331.13	$912.01	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $186.21 / $338.84	Professional		$87.10	$186.21	$338.84