Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.33 / $803.00 / $2,812.00	Facility		$136.33	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $117.10 / $166.06	Professional		$85.19	$117.10	$166.06
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $295.54 / $295.54 / $295.54	Professional	50	$295.54	$295.54	$295.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,196.23 / $2,196.23 / $2,635.48	Facility		$2,196.23	$2,196.23	$2,635.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $126.90 / $167.96	Professional		$94.84	$126.90	$167.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,639.64 / $1,639.64 / $1,639.64	Facility		$1,639.64	$1,639.64	$1,639.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.75 / $171.15 / $226.42	Professional		$110.75	$171.15	$226.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $210.91 / $210.91 / $210.91	Professional		$210.91	$210.91	$210.91
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $337.00 / $768.00	Facility		$130.00	$337.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.39 / $146.81 / $223.39	Professional		$100.39	$146.81	$223.39