Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.73 / $827.00 / $2,812.00	Facility		$110.73	$827.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $114.50 / $160.33	Professional		$66.43	$114.50	$160.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $90.26 / $90.26	Professional		$90.26	$90.26	$90.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $183.66 / $183.66 / $220.39	Facility		$183.66	$183.66	$220.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.43 / $109.46 / $187.27	Professional		$74.43	$109.46	$187.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.65 / $136.65 / $136.65	Facility		$136.65	$136.65	$136.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $138.00 / $257.47	Professional		$65.55	$138.00	$257.47
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $103.80 / $103.80 / $103.80	Professional		$103.80	$103.80	$103.80
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 $129.91 / $180.45 / $257.01	Professional		$129.91	$180.45	$257.01