Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.72 / $975.00 / $2,812.00	Facility		$149.72	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.95 / $162.21 / $206.25	Professional		$111.95	$162.21	$206.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $271.64 / $293.45	Professional		$271.64	$271.64	$293.45
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 $123.31 / $181.34 / $256.72	Professional		$123.31	$181.34	$256.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.53 / $155.53 / $155.53	Facility		$155.53	$155.53	$155.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.16 / $177.00 / $267.00	Professional		$110.16	$177.00	$267.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $312.39 / $337.47	Professional		$312.39	$312.39	$337.47
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.63 / $196.69 / $345.02	Professional		$147.63	$196.69	$345.02