Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $95.50 / $112.20	Facility		$79.43	$95.50	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $151.36	Professional		$48.98	$67.61	$151.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $91.20	Professional		$38.90	$46.77	$91.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $28.18	Facility		$20.42	$20.42	$28.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $93.33	Professional		$63.10	$72.44	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $56.23 / $87.10	Facility		$22.39	$56.23	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $131.83	Professional		$51.29	$91.20	$131.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $123.03	Professional		$57.54	$74.13	$123.03