Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $128.82 / $223.87	Professional		$112.20	$128.82	$223.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $223.87	Professional		$186.21	$204.17	$223.87
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 $234.42 / $234.42 / $309.03	Professional		$234.42	$234.42	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $169.82 / $223.87	Facility		$107.15	$169.82	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $125.89 / $169.82	Professional		$102.33	$125.89	$169.82
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Professional		$251.19	$251.19	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $275.42 / $331.13	Facility		$112.20	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $128.82 / $204.17	Professional		$79.43	$128.82	$204.17