Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.21 / $803.00 / $2,812.00	Facility		$332.21	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $232.92 / $260.88 / $290.91	Facility	54	$232.92	$260.88	$290.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $309.27 / $398.70	Professional		$250.32	$309.27	$398.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.09 / $219.09 / $219.09	Professional		$219.09	$219.09	$219.09
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 $310.73 / $411.26 / $442.28	Professional		$310.73	$411.26	$442.28
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 $263.12 / $436.14 / $536.08	Professional		$263.12	$436.14	$536.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $251.95 / $251.95 / $251.95	Professional		$251.95	$251.95	$251.95
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 $275.36 / $357.66 / $581.40	Professional		$275.36	$357.66	$581.40