Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.21 / $1,083.00 / $3,109.00	Facility		$180.21	$1,083.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $224.98 / $363.79	Professional		$138.03	$224.98	$363.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.10 / $400.66 / $426.07	Professional		$178.10	$400.66	$426.07
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $608.27 / $608.27 / $608.27	Professional	50	$608.27	$608.27	$608.27
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 $166.61 / $294.14 / $389.32	Professional		$166.61	$294.14	$389.32
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 $179.00 / $277.94 / $474.55	Professional		$179.00	$277.94	$474.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $128.18 / $438.27 / $489.98	Professional		$128.18	$438.27	$489.98
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $699.51 / $699.51 / $699.51	Professional	50	$699.51	$699.51	$699.51
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,431.00 / $2,539.00	Facility		$590.00	$1,431.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.25 / $294.02 / $515.65	Professional		$235.25	$294.02	$515.65