Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $803.00 / $2,812.00	Facility		$90.01	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $90.01 / $167.22	Professional		$64.51	$90.01	$167.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $40.27 / $40.27	Professional		$40.27	$40.27	$40.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $655.30 / $655.30 / $786.37	Facility		$655.30	$655.30	$786.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $92.24 / $128.29	Professional		$62.72	$92.24	$128.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.59 / $375.59 / $375.59	Facility		$375.59	$375.59	$375.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.80 / $129.83 / $216.12	Professional		$84.80	$129.83	$216.12
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $46.31 / $46.31	Professional		$46.31	$46.31	$46.31
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $2,285.00	Facility		$330.00	$811.00	$2,285.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.61 / $135.21 / $205.05	Professional		$78.61	$135.21	$205.05