Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.80 / $1,000.00 / $2,812.00	Facility		$108.80	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $106.34 / $155.32	Professional		$89.68	$106.34	$155.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $129.03	Professional		$129.03	$129.03	$129.03
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 $89.96 / $132.30 / $176.38	Professional		$89.96	$132.30	$176.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.95 / $343.95 / $343.95	Facility		$343.95	$343.95	$343.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $167.69 / $210.39	Professional		$139.63	$167.69	$210.39
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $148.38 / $148.38 / $148.38	Professional		$148.38	$148.38	$148.38
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $345.00 / $873.32	Facility		$130.00	$345.00	$873.32
United Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $134.93 / $239.16	Professional		$109.87	$134.93	$239.16