Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $975.00 / $2,812.00	Facility		$118.03	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.06 / $111.23 / $180.74	Professional		$82.06	$111.23	$180.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $182.60 / $194.30	Professional		$125.00	$182.60	$194.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.22 / $269.22 / $323.06	Facility		$269.22	$269.22	$323.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.66 / $143.81 / $181.22	Professional		$108.66	$143.81	$181.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.61 / $325.61 / $325.61	Facility		$325.61	$325.61	$325.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.98 / $166.90 / $240.91	Professional		$98.98	$166.90	$240.91
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $143.75 / $143.75 / $209.99	Professional		$143.75	$143.75	$209.99
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $858.00	Facility		$130.00	$328.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $108.72 / $137.94 / $243.46	Professional		$108.72	$137.94	$243.46