Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.53 / $803.00 / $2,812.00	Facility		$338.53	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $244.30 / $262.95 / $290.61	Facility	54	$244.30	$262.95	$290.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $316.88 / $459.32	Professional		$252.78	$316.88	$459.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $493.45 / $493.45 / $493.45	Professional		$493.45	$493.45	$493.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.54 / $210.54 / $252.65	Facility		$210.54	$210.54	$252.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.48 / $414.13 / $438.49	Professional		$316.48	$414.13	$438.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.82 / $483.82 / $483.82	Facility		$483.82	$483.82	$483.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $439.59 / $549.14	Professional		$295.00	$439.59	$549.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $567.47 / $567.47 / $567.47	Professional		$567.47	$567.47	$567.47
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 $269.69 / $327.92 / $579.62	Professional		$269.69	$327.92	$579.62