Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.67 / $803.00 / $2,812.00	Facility		$268.67	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $197.48 / $206.18 / $229.96	Facility	54	$197.48	$206.18	$229.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.02 / $243.61 / $310.31	Professional		$200.02	$243.61	$310.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.46 / $243.46 / $243.46	Professional		$243.46	$243.46	$243.46
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 $256.60 / $331.52 / $351.02	Professional		$256.60	$331.52	$351.02
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 $216.97 / $345.39 / $441.49	Professional		$216.97	$345.39	$441.49
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $279.98 / $279.98 / $279.98	Professional		$279.98	$279.98	$279.98
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 $209.75 / $265.58 / $445.80	Professional		$209.75	$265.58	$445.80