Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $794.33 / $2,041.74	Facility		$204.17	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $208.93 / $630.96	Professional		$112.20	$208.93	$630.96
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $35.48 / $173.78 / $524.81	Professional	50	$35.48	$173.78	$524.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $173.78 / $426.58	Professional		$47.86	$173.78	$426.58
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $263.03 / $263.03 / $263.03	Professional	50	$263.03	$263.03	$263.03
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 $134.90 / $177.83 / $363.08	Professional		$134.90	$177.83	$363.08
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 $123.03 / $234.42 / $407.38	Professional		$123.03	$234.42	$407.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $275.42 / $489.78	Professional		$100.00	$275.42	$489.78
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $302.00 / $302.00 / $302.00	Professional	50	$302.00	$302.00	$302.00
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 $109.65 / $223.87 / $380.19	Professional		$109.65	$223.87	$380.19