Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.96 / $741.90 / $2,477.00	Facility		$171.96	$741.90	$2,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.04 / $166.62 / $240.39	Professional		$123.04	$166.62	$240.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.60 / $193.60 / $220.46	Professional		$193.60	$193.60	$220.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.35 / $588.35 / $706.02	Facility		$588.35	$588.35	$706.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $178.68 / $216.59	Professional		$135.00	$178.68	$216.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $643.22 / $643.22 / $643.22	Facility		$643.22	$643.22	$643.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.48 / $245.85 / $303.75	Professional		$189.48	$245.85	$303.75
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $222.64 / $222.64 / $253.53	Professional		$222.64	$222.64	$253.53
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.40 / $217.36 / $333.58	Professional		$152.40	$217.36	$333.58