Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.63 / $975.00 / $2,812.00	Facility		$206.63	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $249.37 / $408.54	Professional		$155.62	$249.37	$408.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.13 / $182.90 / $182.90	Professional		$133.13	$182.90	$182.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,613.23 / $2,613.23 / $2,979.08	Facility		$2,613.23	$2,613.23	$2,979.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.16 / $270.83 / $434.46	Professional		$184.16	$270.83	$434.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $515.00 / $2,418.84	Facility		$366.00	$515.00	$2,418.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.66 / $305.92 / $489.82	Professional		$182.66	$305.92	$489.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $210.34 / $210.34	Professional		$153.10	$210.34	$210.34
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 $243.39 / $312.76 / $553.62	Professional		$243.39	$312.76	$553.62