Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $803.00 / $2,812.00	Facility		$133.72	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.29 / $205.97 / $566.46	Professional		$108.29	$205.97	$566.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.31 / $274.31 / $274.31	Professional		$274.31	$274.31	$274.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,411.79 / $1,411.79 / $1,609.44	Facility		$1,411.79	$1,411.79	$1,609.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $171.80 / $300.16	Professional		$116.82	$171.80	$300.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $515.00 / $768.90	Facility		$366.00	$515.00	$768.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.52 / $190.75 / $349.33	Professional		$107.52	$190.75	$349.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $315.45 / $315.45 / $315.45	Professional		$315.45	$315.45	$315.45
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,539.00	Facility		$505.00	$1,106.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $221.91 / $380.00	Professional		$179.45	$221.91	$380.00