Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.04 / $975.00 / $2,812.00	Facility		$149.04	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.35 / $158.59 / $199.58	Professional		$111.35	$158.59	$199.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $265.19 / $271.14 / $288.08	Professional		$265.19	$271.14	$288.08
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 $122.26 / $179.80 / $250.59	Professional		$122.26	$179.80	$250.59
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 $109.24 / $175.84 / $269.00	Professional		$109.24	$175.84	$269.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $311.81 / $331.29 / $331.29	Professional		$311.81	$331.29	$331.29
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.22 / $192.00 / $316.29	Professional		$146.22	$192.00	$316.29