Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $2,246.89 / $9,477.00	Facility		$297.47	$2,246.89	$9,477.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.74 / $261.27 / $1,123.45	Facility	52	$148.74	$261.27	$1,123.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.24 / $1,027.29 / $1,637.13	Professional		$197.24	$1,027.29	$1,637.13
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $98.62 / $513.65 / $818.57	Professional	52	$98.62	$513.65	$818.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Professional		$172.35	$172.35	$172.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,304.24 / $5,304.24 / $6,365.09	Facility		$5,304.24	$5,304.24	$6,365.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $235.81 / $346.78 / $1,541.87	Professional		$235.81	$346.78	$1,541.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,781.00 / $8,781.00 / $8,781.00	Facility		$8,781.00	$8,781.00	$8,781.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.78 / $463.84 / $2,186.79	Professional		$328.78	$463.84	$2,186.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $198.20 / $198.20 / $198.20	Professional		$198.20	$198.20	$198.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,555.00 / $8,929.00	Facility		$2,104.00	$4,555.00	$8,929.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,067.67 / $1,549.59 / $2,378.25	Professional		$1,067.67	$1,549.59	$2,378.25