Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $627.36 / $627.36 / $4,096.93	Facility		$627.36	$627.36	$4,096.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $605.22 / $612.60 / $673.86	Professional		$605.22	$612.60	$673.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $590.46 / $590.46 / $590.46	Professional		$590.46	$590.46	$590.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $675.93 / $701.17 / $701.17	Facility		$675.93	$701.17	$701.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $701.17 / $701.17 / $701.17	Professional		$701.17	$701.17	$701.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.12 / $627.36 / $768.90	Facility		$615.12	$627.36	$768.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.36 / $627.36 / $627.36	Professional		$627.36	$627.36	$627.36
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $679.03 / $679.03 / $679.03	Professional		$679.03	$679.03	$679.03
United Facility/Professional Professional Modifier Low / Median / High Price $553.54 / $615.05 / $665.59	Professional		$553.54	$615.05	$665.59