Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.93 / $975.00 / $2,812.00	Facility		$140.93	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.61 / $188.88 / $370.79	Professional		$107.61	$188.88	$370.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $316.95 / $316.95	Professional		$216.25	$316.95	$316.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.34 / $1,101.34 / $1,255.54	Facility		$1,101.34	$1,101.34	$1,255.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $189.52 / $347.59	Professional		$128.87	$189.52	$347.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $515.00 / $1,424.24	Facility		$366.00	$515.00	$1,424.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.75 / $209.86 / $387.68	Professional		$130.75	$209.86	$387.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $248.69 / $364.50 / $364.50	Professional		$248.69	$364.50	$364.50
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,539.00	Facility		$505.00	$1,106.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.53 / $236.03 / $415.61	Professional		$167.53	$236.03	$415.61