Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $794.33 / $2,041.74	Facility		$134.90	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $407.38	Professional		$107.15	$204.17	$407.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $323.59	Professional		$107.15	$112.20	$323.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,949.84	Facility		$1,412.54	$1,412.54	$1,949.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $302.00	Professional		$117.49	$154.88	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $776.25	Facility		$363.08	$512.86	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $190.55 / $338.84	Professional		$107.15	$190.55	$338.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $4,365.16	Facility		$537.03	$1,288.25	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $331.13	Professional		$102.33	$186.21	$331.13