Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.53 / $1,000.00 / $3,006.00	Facility		$115.53	$1,000.00	$3,006.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.98 / $183.15 / $392.83	Professional		$87.98	$183.15	$392.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $154.47 / $201.94	Professional		$72.25	$154.47	$201.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $845.19 / $845.19 / $963.52	Facility		$845.19	$845.19	$963.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.26 / $157.72 / $326.74	Professional		$107.26	$157.72	$326.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $458.17 / $1,424.24	Facility		$366.00	$458.17	$1,424.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $188.42 / $364.04	Professional		$103.17	$188.42	$364.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $83.09 / $177.65 / $232.23	Professional		$83.09	$177.65	$232.23
United Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $686.00 / $1,533.00	Facility		$304.00	$686.00	$1,533.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.31 / $234.15 / $413.74	Professional		$169.31	$234.15	$413.74