Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $547.95 / $1,064.00 / $2,812.00	Facility		$547.95	$1,064.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $399.73 / $410.96 / $446.43	Facility	54	$399.73	$410.96	$446.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $409.75 / $547.91 / $633.62	Professional		$409.75	$547.91	$633.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $391.83 / $391.83 / $683.54	Professional		$391.83	$391.83	$683.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.96 / $1,458.96 / $1,750.75	Facility		$1,458.96	$1,458.96	$1,750.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.63 / $627.04 / $663.92	Professional		$501.63	$627.04	$663.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $483.82 / $483.82 / $483.82	Facility		$483.82	$483.82	$483.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.79 / $675.52 / $871.58	Professional		$489.79	$675.52	$871.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $450.60 / $450.60 / $786.07	Professional		$450.60	$450.60	$786.07
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 $420.11 / $613.28 / $861.72	Professional		$420.11	$613.28	$861.72