Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.44 / $1,000.00 / $2,812.00	Facility		$133.44	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $144.88 / $360.90	Professional		$69.31	$144.88	$360.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $105.52 / $105.52	Professional		$105.52	$105.52	$105.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.99 / $635.99 / $763.19	Facility		$635.99	$635.99	$763.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.89 / $96.89 / $413.82	Professional		$65.89	$96.89	$413.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.13 / $141.44 / $437.41	Professional		$80.13	$141.44	$437.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $121.35 / $121.35 / $121.35	Professional		$121.35	$121.35	$121.35
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $875.79 / $1,991.12	Facility		$330.00	$875.79	$1,991.12
United Facility/Professional Professional Modifier Low / Median / High Price $160.16 / $265.62 / $591.96	Professional		$160.16	$265.62	$591.96