Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $794.33 / $2,041.74	Facility		$154.88	$794.33	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $251.19	Professional		$85.11	$125.89	$251.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $181.97	Professional		$112.20	$112.20	$181.97
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $309.03 / $309.03	Professional	50	$309.03	$309.03	$309.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $3,019.95	Facility		$2,187.76	$2,187.76	$3,019.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $125.89 / $169.82	Professional		$95.50	$125.89	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $223.87	Professional		$87.10	$169.82	$223.87
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $354.81 / $354.81 / $354.81	Professional	50	$354.81	$354.81	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $363.08 / $3,019.95	Facility		$128.82	$363.08	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $218.78	Professional		$83.18	$128.82	$218.78