Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $311.58 / $375.28 / $3,109.00	Facility		$311.58	$375.28	$3,109.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $227.17 / $255.87 / $281.45	Facility	54	$227.17	$255.87	$281.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.53 / $308.14 / $403.57	Professional		$248.53	$308.14	$403.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $474.47 / $474.47 / $474.47	Professional		$474.47	$474.47	$474.47
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 $311.19 / $411.87 / $446.09	Professional		$311.19	$411.87	$446.09
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 $264.89 / $433.95 / $534.88	Professional		$264.89	$433.95	$534.88
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $385.22 / $385.22 / $385.22	Professional		$385.22	$385.22	$385.22
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $306.00 / $768.00	Facility		$130.00	$306.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $338.27 / $583.78	Professional		$275.04	$338.27	$583.78