Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $1,083.00 / $3,109.00	Facility		$46.74	$1,083.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $47.98 / $70.98	Professional		$33.65	$47.98	$70.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $64.05 / $64.05	Professional		$64.05	$64.05	$64.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.36 / $281.36 / $337.63	Facility		$281.36	$281.36	$337.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $51.16 / $66.09	Professional		$38.65	$51.16	$66.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.37 / $256.37 / $256.37	Facility		$256.37	$256.37	$256.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.15 / $70.36 / $101.10	Professional		$45.15	$70.36	$101.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $73.66 / $73.66	Professional		$73.66	$73.66	$73.66
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.51 / $60.53 / $100.42	Professional		$40.51	$60.53	$100.42