Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.66 / $164.00 / $171.65	Facility		$156.66	$164.00	$171.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $143.50 / $164.00	Professional		$136.66	$143.50	$164.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Professional		$136.22	$136.22	$136.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.80 / $147.80 / $147.80	Facility		$147.80	$147.80	$147.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $147.80 / $147.80	Professional		$137.72	$147.80	$147.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $132.91 / $136.66	Facility		$117.85	$132.91	$136.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.66 / $136.66 / $148.27	Professional		$136.66	$136.66	$148.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $156.66 / $156.66 / $156.66	Professional		$156.66	$156.66	$156.66
United Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $136.66 / $157.16	Professional		$135.12	$136.66	$157.16