Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.80 / $803.00 / $2,812.00	Facility		$173.80	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.84 / $173.80 / $234.22	Professional		$118.84	$173.80	$234.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $324.68 / $324.68 / $627.29	Professional	50	$324.68	$324.68	$627.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.38 / $224.38 / $224.38	Professional		$224.38	$224.38	$224.38
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 $135.56 / $179.42 / $225.04	Professional		$135.56	$179.42	$225.04
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 $108.00 / $241.34 / $306.32	Professional		$108.00	$241.34	$306.32
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $258.04 / $258.04 / $258.04	Professional		$258.04	$258.04	$258.04
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 $138.51 / $207.92 / $323.33	Professional		$138.51	$207.92	$323.33