Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.23 / $381.23 / $1,732.50	Facility		$381.23	$381.23	$1,732.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.26 / $381.23 / $381.23	Professional		$372.26	$381.23	$381.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $112.00 / $112.00	Professional		$112.00	$112.00	$112.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $705.44 / $705.44 / $705.44	Facility		$705.44	$705.44	$705.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $705.44 / $705.44 / $705.44	Professional		$705.44	$705.44	$705.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.75 / $381.23 / $381.23	Facility		$80.75	$381.23	$381.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.23 / $381.23 / $381.23	Professional		$381.23	$381.23	$381.23
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $128.80 / $128.80 / $128.80	Professional		$128.80	$128.80	$128.80
United Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $401.70	Professional		$390.00	$390.00	$401.70