Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.90 / $787.80 / $2,500.00	Facility		$108.90	$787.80	$2,500.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.56 / $146.77 / $230.09	Professional		$81.56	$146.77	$230.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.80 / $138.80 / $138.80	Professional		$138.80	$138.80	$138.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,738.61	Facility		$1,525.10	$1,525.10	$1,738.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.68 / $128.94 / $242.88	Professional		$87.68	$128.94	$242.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $515.00 / $975.46	Facility		$366.00	$515.00	$975.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $165.10 / $304.00	Professional		$100.48	$165.10	$304.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $159.62 / $159.62	Professional		$159.62	$159.62	$159.62
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 $151.25 / $218.02 / $339.21	Professional		$151.25	$218.02	$339.21