Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $1,064.00 / $2,812.00	Facility		$67.45	$1,064.00	$2,812.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $23.08 / $37.82 / $204.22	Facility	52	$23.08	$37.82	$204.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.07 / $205.30 / $371.41	Professional		$35.07	$205.30	$371.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.93 / $59.93 / $298.89	Professional		$59.93	$59.93	$298.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.53 / $218.53 / $249.12	Facility		$218.53	$218.53	$249.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $57.65 / $309.64	Professional		$39.20	$57.65	$309.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $515.00 / $561.00	Facility		$122.34	$515.00	$561.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $210.12 / $375.09	Professional		$45.00	$210.12	$375.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $58.58 / $68.92 / $78.29	Professional		$58.58	$68.92	$78.29
United Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $337.00 / $707.00	Facility		$95.00	$337.00	$707.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $251.08 / $417.51	Professional		$187.59	$251.08	$417.51