Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.64 / $975.00 / $2,812.00	Facility		$188.64	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $177.74 / $229.17	Professional		$131.34	$177.74	$229.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.60 / $287.60 / $287.60	Professional		$287.60	$287.60	$287.60
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 $173.37 / $229.46 / $286.48	Professional		$173.37	$229.46	$286.48
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 $157.91 / $262.64 / $345.81	Professional		$157.91	$262.64	$345.81
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $330.74 / $330.74 / $330.74	Professional		$330.74	$330.74	$330.74
United Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $328.00 / $768.00	Facility		$130.00	$328.00	$768.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.71 / $220.88 / $398.13	Professional		$173.71	$220.88	$398.13