Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.40 / $975.00 / $2,812.00	Facility		$112.40	$975.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $136.94 / $197.87	Professional		$77.18	$136.94	$197.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $75.87 / $136.46	Professional		$75.87	$75.87	$136.46
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 $101.05 / $191.02 / $252.82	Professional		$101.05	$191.02	$252.82
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 $116.32 / $179.38 / $310.30	Professional		$116.32	$179.38	$310.30
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $87.25 / $87.25 / $87.25	Professional		$87.25	$87.25	$87.25
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 $150.07 / $196.78 / $351.23	Professional		$150.07	$196.78	$351.23