Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.02 / $803.00 / $2,812.00	Facility		$150.02	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $163.15 / $257.26	Professional		$101.90	$163.15	$257.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $204.52 / $272.43	Professional		$204.52	$204.52	$272.43
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 $139.24 / $207.50 / $274.64	Professional		$139.24	$207.50	$274.64
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 $144.25 / $211.35 / $327.58	Professional		$144.25	$211.35	$327.58
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $313.29 / $313.29 / $313.29	Professional		$313.29	$313.29	$313.29
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,229.00 / $2,539.00	Facility		$590.00	$1,229.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $202.92 / $346.90	Professional		$158.87	$202.92	$346.90