Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.08 / $975.00 / $2,812.00	Facility		$169.08	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $173.93 / $218.80	Professional		$125.51	$173.93	$218.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.05 / $316.68 / $316.68	Professional		$298.05	$316.68	$316.68
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 $137.50 / $202.20 / $273.33	Professional		$137.50	$202.20	$273.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.37 / $282.37 / $282.37	Facility		$282.37	$282.37	$282.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.26 / $198.72 / $315.31	Professional		$123.26	$198.72	$315.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $342.76 / $364.18 / $364.18	Professional		$342.76	$364.18	$364.18
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 $163.57 / $222.56 / $369.27	Professional		$163.57	$222.56	$369.27