Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.18 / $975.00 / $2,812.00	Facility		$153.18	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.57 / $142.55 / $185.53	Professional		$106.57	$142.55	$185.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $231.06 / $231.06 / $231.06	Professional		$231.06	$231.06	$231.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $887.50 / $887.50 / $1,065.00	Facility		$887.50	$887.50	$1,065.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $184.84 / $229.55	Professional		$139.66	$184.84	$229.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $771.16 / $771.16 / $771.16	Facility		$771.16	$771.16	$771.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $216.38 / $300.00	Professional		$127.23	$216.38	$300.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $265.72 / $265.72 / $265.72	Professional		$265.72	$265.72	$265.72
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,539.00	Facility		$590.00	$1,230.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.21 / $174.69 / $324.54	Professional		$140.21	$174.69	$324.54