Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $1,218.00 / $3,804.00	Facility		$129.41	$1,218.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.76 / $147.82 / $247.00	Professional		$69.76	$147.82	$247.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.06 / $57.10 / $102.70	Professional		$52.06	$57.10	$102.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.58 / $839.58 / $957.12	Facility		$839.58	$839.58	$957.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.26 / $113.62 / $292.52	Professional		$77.26	$113.62	$292.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.20 / $515.00 / $561.00	Facility		$471.20	$515.00	$561.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.44 / $188.12 / $340.71	Professional		$87.44	$188.12	$340.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $65.67 / $118.11	Professional		$59.87	$65.67	$118.11
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 $167.87 / $220.54 / $380.58	Professional		$167.87	$220.54	$380.58