Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $933.25 / $2,041.74	Facility		$165.96	$933.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $407.38 / $758.58	Professional		$107.15	$407.38	$758.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $194.98 / $194.98 / $194.98	Professional	50	$194.98	$194.98	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $102.33 / $457.09	Professional		$46.77	$102.33	$457.09
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $158.49 / $158.49 / $158.49	Professional	50	$158.49	$158.49	$158.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $691.83	Professional		$524.81	$524.81	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $245.47 / $977.24	Professional		$147.91	$245.47	$977.24
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $181.97 / $181.97 / $181.97	Professional	50	$181.97	$181.97	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $346.74 / $851.14	Facility		$128.82	$346.74	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $912.01	Professional		$109.65	$257.04	$912.01