Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $58.78 / $58.78	Facility		$58.78	$58.78	$58.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $84.95 / $125.20	Professional		$58.78	$84.95	$125.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $40.50 / $59.04	Professional		$40.50	$40.50	$59.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.57 / $203.43 / $241.93	Professional		$152.57	$203.43	$241.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.00 / $227.00 / $227.00	Professional		$227.00	$227.00	$227.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $31.05 / $31.05 / $108.68	Professional		$31.05	$31.05	$108.68
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00