Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.27 / $168.27 / $168.27	Facility		$168.27	$168.27	$168.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $128.34 / $184.59	Professional		$115.62	$128.34	$184.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.01 / $178.69 / $198.54	Professional		$135.01	$178.69	$198.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $205.00 / $285.00	Facility		$152.63	$205.00	$285.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.03 / $160.74 / $235.14	Professional		$116.03	$160.74	$235.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $136.85 / $136.85 / $136.85	Professional		$136.85	$136.85	$136.85
United Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $133.84 / $219.44	Professional		$108.60	$133.84	$219.44