Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.40 / $975.00 / $2,812.00	Facility		$108.40	$975.00	$2,812.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $21.68 / $36.96 / $64.06	Facility	53	$21.68	$36.96	$64.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.25 / $170.63 / $308.49	Professional		$77.25	$170.63	$308.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.63 / $119.74 / $166.30	Professional		$91.63	$119.74	$166.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $137.12 / $275.10	Professional		$93.24	$137.12	$275.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $198.71 / $412.68	Professional		$102.21	$198.71	$412.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $137.69 / $191.25	Professional		$105.37	$137.69	$191.25
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $858.00	Facility		$130.00	$337.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $181.11 / $242.72 / $385.73	Professional		$181.11	$242.72	$385.73