Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.90 / $1,074.00 / $3,109.00	Facility		$163.90	$1,074.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.31 / $215.30 / $311.24	Professional		$118.31	$215.30	$311.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.11 / $141.11 / $436.76	Professional		$141.11	$141.11	$436.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $660.03 / $660.03 / $792.04	Facility		$660.03	$660.03	$792.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $210.00 / $335.91	Professional		$142.80	$210.00	$335.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $827.75 / $827.75 / $827.75	Facility		$827.75	$827.75	$827.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $259.12 / $424.14	Professional		$174.91	$259.12	$424.14
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $162.28 / $162.28	Professional		$162.28	$162.28	$162.28
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $838.00 / $1,574.00	Facility		$330.00	$838.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.21 / $326.26 / $496.33	Professional		$225.21	$326.26	$496.33