Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.36 / $202.67 / $3,109.00	Facility		$118.36	$202.67	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $99.45 / $142.80	Professional		$81.37	$99.45	$142.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $178.12 / $189.92	Professional		$163.66	$178.12	$189.92
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 $107.50 / $142.28 / $161.90	Professional		$107.50	$142.28	$161.90
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 $97.94 / $162.29 / $218.88	Professional		$97.94	$162.29	$218.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $188.21 / $188.21 / $218.41	Professional		$188.21	$188.21	$218.41
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 $98.25 / $128.33 / $231.65	Professional		$98.25	$128.33	$231.65