Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.52 / $803.00 / $2,812.00	Facility		$91.52	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $188.90 / $326.91	Professional		$69.09	$188.90	$326.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.95 / $120.95 / $120.95	Professional		$120.95	$120.95	$120.95
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 $79.94 / $117.56 / $385.02	Professional		$79.94	$117.56	$385.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.08 / $515.00 / $582.72	Facility		$204.08	$515.00	$582.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.01 / $166.58 / $433.16	Professional		$81.01	$166.58	$433.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $139.09 / $139.09	Professional		$139.09	$139.09	$139.09
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 $195.47 / $264.39 / $487.34	Professional		$195.47	$264.39	$487.34