Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.70 / $1,064.00 / $3,109.00	Facility		$184.70	$1,064.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $170.56 / $256.67	Professional		$132.27	$170.56	$256.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.43 / $144.97 / $336.48	Professional		$113.43	$144.97	$336.48
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 $158.56 / $209.85 / $272.76	Professional		$158.56	$209.85	$272.76
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 $136.00 / $205.83 / $282.64	Professional		$136.00	$205.83	$282.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $130.44 / $166.72 / $386.95	Professional		$130.44	$166.72	$386.95
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,558.00	Facility		$590.00	$1,230.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $167.74 / $220.13 / $374.87	Professional		$167.74	$220.13	$374.87