Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,258.93 / $6,456.54	Facility		$416.87	$1,258.93	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $512.86 / $1,148.15	Professional		$239.88	$512.86	$1,148.15
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $20.89 / $63.10 / $138.04	Professional	AS	$20.89	$63.10	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $302.00	Professional		$213.80	$251.19	$302.00
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $28.84 / $33.88 / $41.69	Professional	AS	$28.84	$33.88	$41.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $16,595.87 / $22,908.68	Facility		$14,125.38	$16,595.87	$22,908.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $288.40 / $363.08	Professional		$186.21	$288.40	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $524.81 / $524.81 / $524.81	Facility	22	$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $275.42 / $275.42 / $275.42	Facility	62	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	AS	$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $549.54	Professional		$218.78	$316.23	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $588.84 / $1,548.82	Facility		$251.19	$588.84	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $269.15 / $467.74	Professional		$199.53	$269.15	$467.74