Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.60 / $803.00 / $2,812.00	Facility		$137.60	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $209.71 / $403.15	Professional		$95.30	$209.71	$403.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.34 / $158.34 / $158.34	Professional		$158.34	$158.34	$158.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.09 / $118.09 / $141.71	Facility		$118.09	$118.09	$141.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.62 / $155.33 / $456.51	Professional		$105.62	$155.33	$456.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.28 / $116.28 / $116.28	Facility		$116.28	$116.28	$116.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $220.73 / $569.84	Professional		$143.88	$220.73	$569.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $182.09 / $182.09 / $182.09	Professional		$182.09	$182.09	$182.09
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.81 / $330.51 / $628.79	Professional		$234.81	$330.51	$628.79