Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $72.06 / $97.35	Professional		$55.28	$72.06	$97.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.83 / $128.83 / $128.83	Professional		$128.83	$128.83	$128.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $103.27 / $114.74	Professional		$78.02	$103.27	$114.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $84.00 / $137.25	Professional		$55.00	$84.00	$137.25
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $143.88 / $143.88	Professional		$143.88	$143.88	$143.88
United Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $93.98 / $160.05	Professional		$69.89	$93.98	$160.05