Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $31.62	Facility		$20.89	$20.89	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $25.70	Professional		$15.14	$19.05	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $25.70	Professional		$13.18	$23.44	$25.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $173.78	Facility		$125.89	$125.89	$173.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $22.39	Professional		$16.98	$16.98	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.44 / $30.90	Professional		$17.78	$23.44	$30.90
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $27.54	Professional		$26.92	$26.92	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $208.93 / $398.11	Facility		$162.18	$208.93	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $20.42 / $25.12	Professional		$16.60	$20.42	$25.12