Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $803.00 / $2,812.00	Facility		$94.04	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $117.43 / $180.65	Professional		$59.15	$117.43	$180.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.31 / $195.31 / $195.31	Professional		$195.31	$195.31	$195.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $455.30	Facility		$379.42	$379.42	$455.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $138.60 / $219.54	Professional		$94.25	$138.60	$219.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $146.19 / $258.58	Professional		$80.73	$146.19	$258.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $224.61 / $224.61 / $224.61	Professional		$224.61	$224.61	$224.61
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.75 / $173.23 / $301.51	Professional		$85.75	$173.23	$301.51