Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.52 / $1,000.00 / $2,812.00	Facility		$171.52	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $159.87 / $224.83	Professional		$120.54	$159.87	$224.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $210.30 / $288.04	Professional		$137.38	$210.30	$288.04
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 $147.81 / $195.63 / $255.95	Professional		$147.81	$195.63	$255.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.75 / $827.75 / $827.75	Facility		$827.75	$827.75	$827.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.60 / $192.16 / $263.37	Professional		$127.60	$192.16	$263.37
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $168.14 / $241.85 / $331.25	Professional		$168.14	$241.85	$331.25
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.78 / $201.85 / $320.74	Professional		$156.78	$201.85	$320.74