Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $269.15	Facility		$245.47	$245.47	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $1,445.44	Professional		$204.17	$223.87	$1,445.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $263.03	Professional		$204.17	$204.17	$263.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $204.17 / $204.17	Facility		$194.98	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $204.17 / $204.17	Professional		$199.53	$204.17	$204.17
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $204.17 / $204.17	Facility		$2.04	$204.17	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $204.17 / $204.17	Professional		$81.28	$204.17	$204.17