Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.06 / $803.00 / $2,812.00	Facility		$84.06	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.01 / $104.54 / $148.03	Professional		$60.01	$104.54	$148.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $140.96 / $140.96 / $140.96	Professional		$140.96	$140.96	$140.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $455.30	Facility		$379.42	$379.42	$455.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.34 / $78.44 / $129.57	Professional		$53.34	$78.44	$129.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $123.81 / $213.72	Professional		$87.30	$123.81	$213.72
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.10 / $162.10 / $162.10	Professional		$162.10	$162.10	$162.10
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $136.04 / $196.71	Professional		$90.46	$136.04	$196.71