Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $794.33 / $2,041.74	Facility		$134.90	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $363.08	Professional		$102.33	$144.54	$363.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $323.59 / $575.44	Professional	50	$162.18	$323.59	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $177.83	Professional		$81.28	$165.96	$177.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $371.54	Facility		$269.15	$269.15	$371.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $141.25 / $186.21	Professional		$123.03	$141.25	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $177.83 / $263.03	Professional		$95.50	$177.83	$263.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $204.17	Professional		$93.33	$93.33	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $891.25	Facility		$128.82	$346.74	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $229.09	Professional		$102.33	$131.83	$229.09