Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.18 / $1,295.00 / $3,926.51	Facility		$308.18	$1,295.00	$3,926.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.71 / $268.19 / $344.56	Professional		$200.71	$268.19	$344.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $488.21 / $488.21	Professional		$129.57	$488.21	$488.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,830.12	Facility		$1,525.10	$1,525.10	$1,830.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.96 / $328.19 / $420.40	Professional		$247.96	$328.19	$420.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.67 / $1,765.67 / $1,765.67	Facility		$1,765.67	$1,765.67	$1,765.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.80 / $305.48 / $439.84	Professional		$182.80	$305.48	$439.84
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $149.01 / $149.01 / $149.01	Professional		$149.01	$149.01	$149.01
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,539.00	Facility		$590.00	$1,230.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.59 / $327.33 / $535.66	Professional		$247.59	$327.33	$535.66