Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $150.88 / $260.20	Facility		$62.61	$150.88	$260.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.08 / $260.20 / $260.20	Professional		$254.08	$260.20	$260.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.00 / $269.00 / $269.00	Professional		$269.00	$269.00	$269.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $290.81 / $290.81 / $290.81	Facility		$290.81	$290.81	$290.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.81 / $290.81 / $290.81	Professional		$290.81	$290.81	$290.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.90 / $260.20 / $260.20	Facility		$213.90	$260.20	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $260.20 / $260.20 / $260.20	Professional		$260.20	$260.20	$260.20
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $309.35 / $309.35 / $309.35	Professional		$309.35	$309.35	$309.35
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $262.75	Professional		$255.10	$255.10	$262.75