Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.50 / $1,268.00 / $4,877.45	Facility		$300.50	$1,268.00	$4,877.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $249.49 / $300.64	Professional		$200.71	$249.49	$300.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.52 / $260.52 / $319.39	Professional		$260.52	$260.52	$319.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,353.96 / $2,856.65 / $3,843.11	Facility		$2,353.96	$2,856.65	$3,843.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.61 / $232.14 / $293.83	Professional		$143.61	$232.14	$293.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.00 / $274.17 / $606.16	Professional		$201.00	$274.17	$606.16
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,768.00 / $3,360.00	Facility		$625.00	$1,768.00	$3,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.12 / $284.77 / $333.45	Professional		$234.12	$284.77	$333.45