Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.92 / $1,130.00 / $3,109.00	Facility		$383.92	$1,130.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.91 / $346.28 / $451.02	Professional		$254.91	$346.28	$451.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $295.35 / $295.35 / $295.35	Professional		$295.35	$295.35	$295.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.85 / $590.85 / $709.02	Facility		$590.85	$590.85	$709.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.18 / $409.09 / $558.21	Professional		$278.18	$409.09	$558.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $447.90 / $447.90 / $447.90	Facility		$447.90	$447.90	$447.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.64 / $449.22 / $658.40	Professional		$262.64	$449.22	$658.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $339.65 / $339.65 / $339.65	Professional		$339.65	$339.65	$339.65
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.22 / $437.77 / $720.72	Professional		$350.22	$437.77	$720.72