Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $151.36 / $2,041.74	Facility		$100.00	$151.36	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $169.82	Professional		$72.44	$104.71	$169.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	50	$281.84	$281.84	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $199.53 / $199.53	Professional	50	$199.53	$199.53	$199.53
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 $85.11 / $102.33 / $134.90	Professional		$85.11	$102.33	$134.90
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 $72.44 / $138.04 / $181.97	Professional		$72.44	$138.04	$181.97
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $229.09 / $229.09 / $229.09	Professional	50	$229.09	$229.09	$229.09
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 $70.79 / $104.71 / $169.82	Professional		$70.79	$104.71	$169.82