Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $229.09 / $302.00	Facility		$177.83	$229.09	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $204.17	Professional		$87.10	$112.20	$204.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $144.54	Professional		$123.03	$123.03	$144.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $204.17	Facility		$147.91	$147.91	$204.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $162.18	Professional		$109.65	$109.65	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $173.78 / $346.74	Facility		$102.33	$173.78	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $218.78	Professional		$77.62	$144.54	$218.78
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $169.82	Professional		$141.25	$141.25	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $131.83	Facility		$117.49	$117.49	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $131.83	Professional		$54.95	$89.13	$131.83