Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.60 / $1,000.00 / $2,812.00	Facility		$197.60	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.21 / $215.19 / $276.72	Professional		$147.21	$215.19	$276.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $354.71 / $354.71 / $354.71	Professional		$354.71	$354.71	$354.71
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 $169.97 / $249.96 / $335.28	Professional		$169.97	$249.96	$335.28
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 $152.58 / $240.58 / $352.93	Professional		$152.58	$240.58	$352.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $407.92 / $407.92 / $407.92	Professional		$407.92	$407.92	$407.92
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 $209.32 / $270.30 / $457.87	Professional		$209.32	$270.30	$457.87