Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.25 / $803.00 / $2,812.00	Facility		$217.25	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $153.66 / $166.15 / $212.05	Facility	54	$153.66	$166.15	$212.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.06 / $200.22 / $278.39	Professional		$162.06	$200.22	$278.39
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $125.52 / $158.09 / $195.61	Professional	54	$125.52	$158.09	$195.61
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $190.28 / $190.28 / $223.86	Professional	54	$190.28	$190.28	$223.86
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 $207.70 / $274.89 / $292.23	Professional		$207.70	$274.89	$292.23
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 $173.85 / $282.80 / $354.91	Professional		$173.85	$282.80	$354.91
Qualchoice Facility/Professional Professional Modifier 54 Low / Median / High Price $257.44 / $257.44 / $257.44	Professional	54	$257.44	$257.44	$257.44
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 $177.71 / $234.91 / $387.85	Professional		$177.71	$234.91	$387.85