Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,000.00 / $2,570.40	Facility		$169.82	$1,000.00	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $316.23	Professional		$112.20	$169.82	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $194.98	Professional		$83.18	$141.25	$194.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Facility		$660.69	$660.69	$912.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $199.53 / $263.03	Professional		$151.36	$199.53	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $257.04	Professional		$128.82	$181.97	$257.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $316.23	Professional		$123.03	$165.96	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $2,089.30	Facility		$331.13	$912.01	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $295.12	Professional		$131.83	$186.21	$295.12