Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.97 / $325.49 / $3,109.00	Facility		$146.97	$325.49	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.75 / $216.82 / $371.08	Professional		$126.75	$216.82	$371.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $431.09 / $431.09 / $431.09	Professional		$431.09	$431.09	$431.09
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 $194.03 / $285.33 / $432.01	Professional		$194.03	$285.33	$432.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.45 / $515.00 / $1,424.24	Facility		$223.45	$515.00	$1,424.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.34 / $290.85 / $493.08	Professional		$157.34	$290.85	$493.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $495.75 / $495.75 / $495.75	Professional		$495.75	$495.75	$495.75
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 $177.20 / $308.20 / $580.77	Professional		$177.20	$308.20	$580.77