Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.00 / $1,074.00 / $3,109.00	Facility		$237.00	$1,074.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $259.64 / $336.90	Professional		$180.90	$259.64	$336.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.21 / $244.38 / $436.91	Professional		$152.21	$244.38	$436.91
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 $212.70 / $310.69 / $411.21	Professional		$212.70	$310.69	$411.21
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 $183.72 / $294.52 / $434.83	Professional		$183.72	$294.52	$434.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $502.45 / $562.07	Professional		$175.04	$502.45	$562.07
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 $239.71 / $322.27 / $564.13	Professional		$239.71	$322.27	$564.13