Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.53 / $1,181.00 / $3,300.00	Facility		$151.53	$1,181.00	$3,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $142.27 / $202.31	Professional		$108.64	$142.27	$202.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.88 / $242.34 / $261.77	Professional		$130.88	$242.34	$261.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.03 / $660.03 / $792.04	Facility		$660.03	$660.03	$792.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.12 / $177.51 / $230.51	Professional		$134.12	$177.51	$230.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.22 / $440.22 / $440.22	Facility		$440.22	$440.22	$440.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.08 / $172.03 / $259.33	Professional		$115.08	$172.03	$259.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $278.69 / $296.54	Professional		$150.52	$278.69	$296.54
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.90 / $176.12 / $271.10	Professional		$140.90	$176.12	$271.10