Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.42 / $803.00 / $2,812.00	Facility		$357.42	$803.00	$2,812.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $260.50 / $270.70 / $326.89	Facility	54	$260.50	$270.70	$326.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.35 / $321.38 / $423.42	Professional		$266.35	$321.38	$423.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.42 / $447.42 / $497.13	Professional		$447.42	$447.42	$497.13
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 $332.06 / $429.73 / $455.01	Professional		$332.06	$429.73	$455.01
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 $323.83 / $459.67 / $574.58	Professional		$323.83	$459.67	$574.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $514.53 / $514.53 / $571.70	Professional		$514.53	$514.53	$571.70
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 $283.70 / $400.02 / $627.24	Professional		$283.70	$400.02	$627.24