Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.63 / $1,074.00 / $3,109.00	Facility		$124.63	$1,074.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.23 / $123.86 / $161.68	Professional		$96.23	$123.86	$161.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $170.43 / $179.59 / $222.78	Professional		$170.43	$179.59	$222.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $296.93 / $296.93 / $356.32	Facility		$296.93	$296.93	$356.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $153.82 / $176.99	Professional		$116.22	$153.82	$176.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.16 / $154.16 / $154.16	Facility		$154.16	$154.16	$154.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.00 / $187.69 / $217.87	Professional		$162.00	$187.69	$217.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $206.53 / $256.20	Professional		$195.99	$206.53	$256.20
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $160.38 / $253.02	Professional		$102.95	$160.38	$253.02