Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.56 / $165.13 / $3,109.00	Facility		$88.56	$165.13	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $94.90 / $131.24	Professional		$72.73	$94.90	$131.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $139.30 / $139.30	Professional		$139.30	$139.30	$139.30
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $199.93 / $199.93 / $199.93	Professional	50	$199.93	$199.93	$199.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $384.00 / $460.80	Facility		$384.00	$384.00	$460.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.48 / $111.81 / $135.08	Professional		$84.48	$111.81	$135.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.39 / $96.39 / $96.39	Facility		$96.39	$96.39	$96.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $137.83 / $181.05	Professional		$76.90	$137.83	$181.05
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $229.92 / $229.92 / $229.92	Professional	50	$229.92	$229.92	$229.92
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 $75.06 / $112.60 / $176.04	Professional		$75.06	$112.60	$176.04