Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.93 / $1,218.00 / $4,209.63	Facility		$359.93	$1,218.00	$4,209.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $364.70 / $482.53	Professional		$265.16	$364.70	$482.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.00 / $389.00 / $629.07	Professional		$389.00	$389.00	$629.07
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 $314.97 / $446.17 / $590.52	Professional		$314.97	$446.17	$590.52
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 $271.97 / $405.30 / $623.67	Professional		$271.97	$405.30	$623.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $447.35 / $806.12 / $839.55	Professional		$447.35	$806.12	$839.55
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 $332.10 / $485.43 / $879.68	Professional		$332.10	$485.43	$879.68