Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $158.49 / $177.83	Facility		$120.23	$158.49	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $144.54 / $302.00	Professional		$102.33	$144.54	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $158.49 / $181.97	Professional		$125.89	$158.49	$181.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $213.80	Professional		$144.54	$158.49	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $257.04	Professional		$114.82	$162.18	$257.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $239.88	Professional		$165.96	$204.17	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $208.93	Professional		$109.65	$151.36	$208.93