Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $346.74 / $2,041.74	Facility		$309.03	$346.74	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $630.96	Professional		$263.03	$323.59	$630.96
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $295.12 / $512.86 / $602.56	Professional	54	$295.12	$512.86	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $338.84 / $478.63	Professional		$194.98	$338.84	$478.63
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $169.82 / $169.82 / $407.38	Professional	54	$169.82	$169.82	$407.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Facility		$208.93	$208.93	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $331.13 / $436.52	Professional		$316.23	$331.13	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $380.19 / $489.78	Professional		$234.42	$380.19	$489.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $562.34	Professional		$234.42	$389.05	$562.34
Qualchoice Facility/Professional Professional Modifier 54 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	54	$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $776.25	Facility		$128.82	$346.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $316.23 / $524.81	Professional		$245.47	$316.23	$524.81