Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.03 / $1,064.00 / $2,812.00	Facility		$153.03	$1,064.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $225.54 / $386.79	Professional		$115.61	$225.54	$386.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.74 / $199.74 / $199.74	Professional		$199.74	$199.74	$199.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $753.37 / $753.37 / $904.04	Facility		$753.37	$753.37	$904.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.74 / $196.67 / $373.98	Professional		$133.74	$196.67	$373.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.41 / $268.57 / $501.71	Professional		$155.41	$268.57	$501.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $229.70 / $229.70	Professional		$226.64	$229.70	$229.70
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $827.00 / $1,574.00	Facility		$330.00	$827.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.53 / $310.67 / $519.83	Professional		$230.53	$310.67	$519.83