Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $72.44 / $100.00	Professional		$56.23	$72.44	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $128.82	Professional		$93.33	$93.33	$128.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218,776.16 / $524,807.46 / $954,992.59	Facility		$218,776.16	$524,807.46	$954,992.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $186.21	Professional		$138.04	$138.04	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $131.83	Facility		$89.13	$89.13	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $89.13	Professional		$51.29	$64.57	$89.13
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $141.25 / $165.96	Facility		$79.43	$141.25	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $75.86 / $95.50	Professional		$40.74	$75.86	$95.50