Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.69 / $975.00 / $2,812.00	Facility		$210.69	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $193.14 / $261.25	Professional		$150.93	$193.14	$261.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.46 / $160.65 / $347.08	Professional		$93.46	$160.65	$347.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,830.12	Facility		$1,525.10	$1,525.10	$1,830.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.08 / $238.34 / $302.11	Professional		$180.08	$238.34	$302.11
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 $150.88 / $241.11 / $314.02	Professional		$150.88	$241.11	$314.02
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $184.75 / $200.11	Professional		$157.03	$184.75	$200.11
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 $186.22 / $241.20 / $407.39	Professional		$186.22	$241.20	$407.39