Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.22 / $803.00 / $2,812.00	Facility		$124.22	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.95 / $120.93 / $169.75	Professional		$89.95	$120.93	$169.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $143.68 / $143.68	Professional		$143.68	$143.68	$143.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $244.00 / $292.80	Facility		$244.00	$244.00	$292.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $144.13 / $190.76	Professional		$104.49	$144.13	$190.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.70 / $236.70 / $236.70	Facility		$236.70	$236.70	$236.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.92 / $173.87 / $226.66	Professional		$127.92	$173.87	$226.66
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $165.23 / $165.23 / $165.23	Professional		$165.23	$165.23	$165.23
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 $120.01 / $152.33 / $251.73	Professional		$120.01	$152.33	$251.73