Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.53 / $1,000.00 / $2,812.00	Facility		$131.53	$1,000.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $111.78 / $158.78	Professional		$90.73	$111.78	$158.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $99.31 / $99.31	Professional		$99.31	$99.31	$99.31
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 $124.23 / $164.42 / $186.78	Professional		$124.23	$164.42	$186.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.54 / $197.54 / $197.54	Facility		$197.54	$197.54	$197.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.54 / $173.67 / $244.05	Professional		$95.54	$173.67	$244.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $114.21 / $114.21 / $114.21	Professional		$114.21	$114.21	$114.21
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 $108.41 / $133.53 / $240.35	Professional		$108.41	$133.53	$240.35