Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.14 / $803.00 / $2,812.00	Facility		$360.14	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $255.38 / $284.64 / $313.10	Facility	54	$255.38	$284.64	$313.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.31 / $359.32 / $451.65	Professional		$274.31	$359.32	$451.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $513.99 / $513.99 / $513.99	Professional		$513.99	$513.99	$513.99
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 $342.84 / $453.75 / $508.96	Professional		$342.84	$453.75	$508.96
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 $274.89 / $481.48 / $588.28	Professional		$274.89	$481.48	$588.28
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $591.09 / $591.09 / $591.09	Professional		$591.09	$591.09	$591.09
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 $303.99 / $383.07 / $632.92	Professional		$303.99	$383.07	$632.92