Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $291.85 / $803.00 / $2,812.00	Facility		$291.85	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $201.81 / $227.75 / $251.62	Facility	54	$201.81	$227.75	$251.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.69 / $281.27 / $362.81	Professional		$226.69	$281.27	$362.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.79 / $331.79 / $331.79	Professional		$331.79	$331.79	$331.79
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 $283.81 / $375.63 / $420.35	Professional		$283.81	$375.63	$420.35
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 $248.53 / $390.36 / $487.37	Professional		$248.53	$390.36	$487.37
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $381.56 / $381.56 / $381.56	Professional		$381.56	$381.56	$381.56
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 $250.01 / $294.13 / $520.66	Professional		$250.01	$294.13	$520.66