Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.27 / $1,074.00 / $3,109.00	Facility		$156.27	$1,074.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.19 / $180.58 / $248.94	Professional		$121.19	$180.58	$248.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.80 / $183.80 / $183.80	Professional		$183.80	$183.80	$183.80
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 $142.91 / $210.16 / $289.31	Professional		$142.91	$210.16	$289.31
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 $160.52 / $259.43 / $387.96	Professional		$160.52	$259.43	$387.96
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $211.37 / $211.37 / $211.37	Professional		$211.37	$211.37	$211.37
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $918.56 / $2,555.98	Facility		$330.00	$918.56	$2,555.98
United Facility/Professional Professional Modifier Low / Median / High Price $167.96 / $229.55 / $383.41	Professional		$167.96	$229.55	$383.41