Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.22 / $1,632.00 / $4,478.00	Facility		$450.22	$1,632.00	$4,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.22 / $640.96 / $863.03	Professional		$450.22	$640.96	$863.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $955.39 / $955.39 / $955.39	Professional		$955.39	$955.39	$955.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,329.99 / $5,329.99 / $6,076.19	Facility		$5,329.99	$5,329.99	$6,076.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $809.73 / $1,071.70 / $1,190.78	Professional		$809.73	$1,071.70	$1,190.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $541.00 / $561.00	Facility		$515.00	$541.00	$561.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.27 / $1,133.27 / $1,357.79	Professional		$1,133.27	$1,133.27	$1,357.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,098.70 / $1,098.70 / $1,098.70	Professional		$1,098.70	$1,098.70	$1,098.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $2,075.00 / $5,626.00	Facility		$1,200.00	$2,075.00	$5,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $267.83 / $600.48 / $1,568.53	Professional		$267.83	$600.48	$1,568.53