Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.97 / $803.00 / $2,812.00	Facility		$122.97	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.91 / $151.97 / $271.42	Professional		$90.91	$151.97	$271.42
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $475.30 / $475.30 / $475.30	Professional	50	$475.30	$475.30	$475.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $379.42 / $379.42 / $455.30	Facility		$379.42	$379.42	$455.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.11 / $108.99 / $260.52	Professional		$74.11	$108.99	$260.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.68 / $88.68 / $88.68	Facility		$88.68	$88.68	$88.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $176.93 / $333.72	Professional		$93.50	$176.93	$333.72
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $546.60 / $546.60 / $546.60	Professional	50	$546.60	$546.60	$546.60
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 $161.38 / $205.89 / $378.06	Professional		$161.38	$205.89	$378.06