Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $2,041.74	Facility		$120.23	$144.54	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $239.88	Professional		$89.13	$123.03	$239.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.40 / $363.08 / $363.08	Professional	50	$288.40	$363.08	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $162.18	Professional		$109.65	$109.65	$162.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $524.81	Facility		$380.19	$380.19	$524.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $162.18	Professional		$107.15	$123.03	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $162.18 / $234.42	Professional		$85.11	$162.18	$234.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $363.08 / $912.01	Facility		$128.82	$363.08	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $117.49 / $218.78	Professional		$91.20	$117.49	$218.78