Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.67 / $1,083.00 / $3,308.00	Facility		$168.67	$1,083.00	$3,308.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $187.26 / $276.29	Professional		$117.87	$187.26	$276.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.26 / $324.77 / $324.77	Professional		$224.26	$324.77	$324.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,150.23 / $2,150.23 / $2,580.29	Facility		$2,150.23	$2,150.23	$2,580.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $248.72 / $329.19	Professional		$157.03	$248.72	$329.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,568.21 / $1,568.21 / $1,568.21	Facility		$1,568.21	$1,568.21	$1,568.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $258.31 / $394.44	Professional		$149.40	$258.31	$394.44
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $257.89 / $257.89 / $373.49	Professional		$257.89	$257.89	$373.49
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $256.02 / $454.10	Professional		$198.59	$256.02	$454.10