Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.29 / $1,277.00 / $3,109.00	Facility		$306.29	$1,277.00	$3,109.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $102.10 / $153.13 / $479.72	Facility	52	$102.10	$153.13	$479.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.35 / $434.82 / $1,043.80	Professional		$135.35	$434.82	$1,043.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.97 / $238.97 / $250.92	Professional		$238.97	$238.97	$250.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.19 / $1,513.19 / $1,815.83	Facility		$1,513.19	$1,513.19	$1,815.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $219.82 / $854.52	Professional		$149.47	$219.82	$854.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.12 / $327.77 / $1,046.50	Professional		$210.12	$327.77	$1,046.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $274.82 / $274.82 / $274.82	Professional		$274.82	$274.82	$274.82
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.95 / $969.51 / $1,246.55	Professional		$575.95	$969.51	$1,246.55