Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.77 / $803.00 / $2,812.00	Facility		$99.77	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.40 / $155.62 / $267.95	Professional		$72.40	$155.62	$267.95
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $183.74 / $183.74 / $183.74	Professional	50	$183.74	$183.74	$183.74
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 $95.97 / $141.13 / $338.43	Professional		$95.97	$141.13	$338.43
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 $90.13 / $173.66 / $407.78	Professional		$90.13	$173.66	$407.78
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $211.30 / $211.30 / $211.30	Professional	50	$211.30	$211.30	$211.30
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $765.00 / $1,574.00	Facility		$330.00	$765.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $177.99 / $245.79 / $413.36	Professional		$177.99	$245.79	$413.36