Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.69 / $1,759.00 / $3,308.00	Facility		$197.69	$1,759.00	$3,308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $131.44 / $193.71	Professional		$104.01	$131.44	$193.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.24 / $139.24 / $139.24	Professional		$139.24	$139.24	$139.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.78 / $1,625.78 / $1,950.94	Facility		$1,625.78	$1,625.78	$1,950.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.44 / $128.97 / $128.97	Professional		$97.44	$128.97	$128.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.68 / $202.57 / $219.08	Professional		$160.68	$202.57	$219.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $160.13 / $160.13	Professional		$160.13	$160.13	$160.13
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.84 / $135.58 / $219.38	Professional		$107.84	$135.58	$219.38