Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.05 / $803.00 / $2,812.00	Facility		$362.05	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $257.70 / $276.95 / $334.62	Facility	54	$257.70	$276.95	$334.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.88 / $332.12 / $493.68	Professional		$273.88	$332.12	$493.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.07 / $269.07 / $371.68	Professional		$269.07	$269.07	$371.68
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 $344.95 / $454.45 / $481.19	Professional		$344.95	$454.45	$481.19
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 $295.39 / $471.49 / $592.66	Professional		$295.39	$471.49	$592.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $309.43 / $309.43 / $427.43	Professional		$309.43	$309.43	$427.43
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 $296.36 / $393.85 / $630.75	Professional		$296.36	$393.85	$630.75