Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.94 / $1,262.00 / $3,804.00	Facility		$210.94	$1,262.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $195.44 / $259.52	Professional		$150.53	$195.44	$259.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $130.21 / $167.84	Professional		$130.21	$130.21	$167.84
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 $181.89 / $240.73 / $314.85	Professional		$181.89	$240.73	$314.85
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 $157.07 / $238.29 / $326.35	Professional		$157.07	$238.29	$326.35
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $149.74 / $193.02 / $208.51	Professional		$149.74	$193.02	$208.51
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 $193.73 / $242.16 / $423.38	Professional		$193.73	$242.16	$423.38