Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.24 / $975.00 / $2,812.00	Facility		$159.24	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $173.65 / $219.36	Professional		$119.31	$173.65	$219.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.58 / $291.58 / $291.58	Professional		$291.58	$291.58	$291.58
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 $131.74 / $193.73 / $274.75	Professional		$131.74	$193.73	$274.75
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 $117.51 / $188.74 / $305.00	Professional		$117.51	$188.74	$305.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $335.33	Professional		$335.33	$335.33	$335.33
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 $158.19 / $210.76 / $369.96	Professional		$158.19	$210.76	$369.96