Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.61 / $803.00 / $2,812.00	Facility		$159.61	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.26 / $177.90 / $256.39	Professional		$125.26	$177.90	$256.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $230.76 / $230.76 / $230.76	Professional		$230.76	$230.76	$230.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $437.76	Facility		$384.00	$384.00	$437.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.55 / $199.34 / $289.81	Professional		$135.55	$199.34	$289.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.53 / $366.00 / $515.00	Facility		$67.53	$366.00	$515.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $210.53 / $345.23	Professional		$128.00	$210.53	$345.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $265.37 / $265.37 / $265.37	Professional		$265.37	$265.37	$265.37
United Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $261.00 / $721.00	Facility		$95.00	$261.00	$721.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.30 / $222.43 / $396.64	Professional		$166.30	$222.43	$396.64