Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.83 / $1,064.00 / $2,812.00	Facility		$45.83	$1,064.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $45.83 / $54.99	Professional		$31.29	$45.83	$54.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.65 / $45.65 / $45.65	Professional		$45.65	$45.65	$45.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $211.37 / $211.37 / $253.64	Facility		$211.37	$211.37	$253.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.03 / $46.37 / $46.37	Professional		$35.03	$46.37	$46.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $142.71 / $142.71	Facility		$142.71	$142.71	$142.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $61.44 / $76.00	Professional		$31.84	$61.44	$76.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $52.50 / $52.50	Professional		$52.50	$52.50	$52.50
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $45.25 / $95.36	Professional		$32.36	$45.25	$95.36