Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.09 / $83.03 / $3,109.00	Facility		$61.09	$83.03	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $54.28 / $78.47	Professional		$30.75	$54.28	$78.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $55.31 / $55.31	Professional		$55.31	$55.31	$55.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $460.80	Facility		$384.00	$384.00	$460.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $50.90 / $56.55	Professional		$38.45	$50.90	$56.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $96.39 / $96.39	Facility		$96.39	$96.39	$96.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $76.93 / $110.07	Professional		$43.31	$76.93	$110.07
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $63.61 / $63.61 / $63.61	Professional		$63.61	$63.61	$63.61
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 $39.88 / $63.97 / $100.97	Professional		$39.88	$63.97	$100.97