Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.12 / $803.00 / $2,812.00	Facility		$253.12	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $185.93 / $200.09 / $249.98	Facility	54	$185.93	$200.09	$249.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.47 / $243.73 / $349.82	Professional		$196.47	$243.73	$349.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.96 / $178.96 / $178.96	Professional		$178.96	$178.96	$178.96
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 $258.32 / $325.92 / $345.09	Professional		$258.32	$325.92	$345.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $167.26 / $167.26	Facility		$167.26	$167.26	$167.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.15 / $334.68 / $434.88	Professional		$208.15	$334.68	$434.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $205.80 / $205.80 / $205.80	Professional		$205.80	$205.80	$205.80
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 $203.56 / $272.16 / $433.29	Professional		$203.56	$272.16	$433.29