Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $794.33 / $2,041.74	Facility		$100.00	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $194.98 / $316.23	Professional		$79.43	$194.98	$316.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $128.82 / $128.82 / $128.82	Professional	50	$128.82	$128.82	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $128.82 / $398.11	Professional		$77.62	$128.82	$398.11
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $173.78 / $173.78 / $512.86	Professional	50	$173.78	$173.78	$512.86
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 $95.50 / $125.89 / $338.84	Professional		$95.50	$125.89	$338.84
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 $87.10 / $173.78 / $380.19	Professional		$87.10	$173.78	$380.19
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $363.08	Professional		$141.25	$147.91	$363.08
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $199.53 / $199.53 / $588.84	Professional	50	$199.53	$199.53	$588.84
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 $77.62 / $181.97 / $354.81	Professional		$77.62	$181.97	$354.81