Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.37 / $92.60 / $114.23	Facility		$79.37	$92.60	$114.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $74.41 / $111.46	Professional		$51.79	$74.41	$111.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.29 / $102.27 / $106.97	Professional		$54.29	$102.27	$106.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $20.45 / $22.25	Facility		$20.45	$20.45	$22.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.31 / $83.80 / $93.11	Professional		$63.31	$83.80	$93.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $57.69 / $93.52	Facility		$29.97	$57.69	$93.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $86.36 / $125.16	Professional		$50.89	$86.36	$125.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $110.17 / $117.61 / $123.02	Professional		$110.17	$117.61	$123.02
United Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $81.06 / $124.36	Professional		$58.26	$81.06	$124.36