Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.98 / $803.00 / $2,812.00	Facility		$333.98	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.34 / $172.41 / $209.92	Facility	52	$158.34	$172.41	$209.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $237.51 / $258.61 / $314.88	Facility	54	$237.51	$258.61	$314.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.64 / $316.27 / $406.67	Professional		$249.64	$316.27	$406.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $209.87 / $411.52 / $449.73	Professional		$209.87	$411.52	$449.73
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 $327.67 / $433.68 / $480.22	Professional		$327.67	$433.68	$480.22
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 $291.52 / $456.08 / $563.75	Professional		$291.52	$456.08	$563.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $473.25 / $473.25 / $473.25	Professional		$473.25	$473.25	$473.25
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 $279.66 / $387.02 / $629.07	Professional		$279.66	$387.02	$629.07