Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.25 / $803.00 / $2,812.00	Facility		$163.25	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $225.27 / $370.82	Professional		$120.15	$225.27	$370.82
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,332.00 / $1,332.00 / $1,332.00	Professional	50	$1,332.00	$1,332.00	$1,332.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $201.85 / $204.91	Professional		$189.69	$201.85	$204.91
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $284.54 / $284.54 / $552.52	Professional	50	$284.54	$284.54	$552.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $866.69 / $866.69 / $1,040.03	Facility		$866.69	$866.69	$1,040.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.71 / $217.22 / $392.95	Professional		$147.71	$217.22	$392.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.58 / $726.58 / $726.58	Facility		$726.58	$726.58	$726.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $288.42 / $495.00	Professional		$183.97	$288.42	$495.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $232.13 / $232.13 / $232.13	Professional		$232.13	$232.13	$232.13
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.04 / $318.80 / $534.63	Professional		$234.04	$318.80	$534.63