Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.55 / $1,074.00 / $3,109.00	Facility		$345.55	$1,074.00	$3,109.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $250.49 / $274.64 / $314.01	Facility	54	$250.49	$274.64	$314.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.88 / $326.45 / $444.57	Professional		$260.88	$326.45	$444.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $503.60 / $503.60 / $503.60	Professional		$503.60	$503.60	$503.60
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 $324.72 / $429.78 / $476.32	Professional		$324.72	$429.78	$476.32
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 $306.27 / $459.14 / $559.78	Professional		$306.27	$459.14	$559.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $579.14 / $579.14 / $579.14	Professional		$579.14	$579.14	$579.14
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $415.00 / $596.48	Professional		$292.95	$415.00	$596.48