Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.50 / $823.31 / $2,812.00	Facility		$502.50	$823.31	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $376.88 / $410.02 / $476.38	Facility	54	$376.88	$410.02	$476.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $488.73 / $630.79	Professional		$383.07	$488.73	$630.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $610.72 / $610.72 / $610.72	Professional		$610.72	$610.72	$610.72
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 $462.62 / $612.29 / $680.72	Professional		$462.62	$612.29	$680.72
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 $461.21 / $670.02 / $805.91	Professional		$461.21	$670.02	$805.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $702.33 / $702.33 / $702.33	Professional		$702.33	$702.33	$702.33
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.25 / $577.41 / $897.41	Professional		$423.25	$577.41	$897.41