Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $794.33 / $2,041.74	Facility		$138.04	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $223.87	Professional		$107.15	$138.04	$223.87
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $114.82 / $165.96 / $229.09	Professional	54	$114.82	$165.96	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
Ambetter Facility/Professional Professional Modifier 54 Low / Median / High Price $74.13 / $74.13 / $199.53	Professional	54	$74.13	$74.13	$199.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Facility		$208.93	$208.93	$288.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $173.78	Professional		$131.83	$131.83	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $173.78 / $208.93	Professional		$107.15	$173.78	$208.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Professional		$204.17	$204.17	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $776.25	Facility		$128.82	$346.74	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $218.78	Professional		$107.15	$138.04	$218.78