Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $33.93 / $35.63	Facility		$24.42	$33.93	$35.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $21.17 / $32.51	Professional		$20.35	$21.17	$32.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $91.29	Professional		$28.16	$28.16	$91.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $30.67 / $30.67	Facility		$30.67	$30.67	$30.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.57 / $30.67 / $30.67	Professional		$26.57	$30.67	$30.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $20.35 / $44.37	Facility		$19.20	$20.35	$44.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.35 / $25.91	Professional		$20.35	$20.35	$25.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $32.38 / $104.98	Professional		$32.38	$32.38	$104.98
United Facility/Professional Professional Modifier Low / Median / High Price $20.35 / $20.96 / $26.05	Professional		$20.35	$20.96	$26.05