Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.32 / $1,277.00 / $3,109.00	Facility		$335.32	$1,277.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $416.37 / $707.04	Professional		$231.34	$416.37	$707.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.88 / $193.88 / $193.88	Professional		$193.88	$193.88	$193.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $539.80 / $539.80 / $647.77	Facility		$539.80	$539.80	$647.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.98 / $385.12 / $427.91	Professional		$290.98	$385.12	$427.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $534.97 / $534.97 / $534.97	Facility		$534.97	$534.97	$534.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.97 / $557.21 / $991.00	Professional		$285.97	$557.21	$991.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $222.96 / $222.96 / $222.96	Professional		$222.96	$222.96	$222.96
United Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $811.00 / $1,574.00	Facility		$330.00	$811.00	$1,574.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.74 / $545.66 / $894.96	Professional		$263.74	$545.66	$894.96