Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $794.33 / $1,862.09	Facility		$162.18	$794.33	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $239.88 / $457.09	Professional		$125.89	$239.88	$457.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $1,047.13 / $1,318.26	Professional	50	$645.65	$1,047.13	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $190.55 / $295.12	Professional		$102.33	$190.55	$295.12
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $281.84 / $354.81	Professional	50	$263.03	$281.84	$354.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Facility		$870.96	$870.96	$1,174.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $194.98 / $389.05	Professional		$147.91	$194.98	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $467.74	Professional		$144.54	$269.15	$467.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $426.58	Professional		$117.49	$234.42	$426.58
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $323.59	Professional	50	$302.00	$302.00	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $912.01 / $2,511.89	Facility		$331.13	$912.01	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $234.42 / $426.58	Professional		$123.03	$234.42	$426.58