Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $823.92 / $1,632.00 / $3,446.00	Facility		$823.92	$1,632.00	$3,446.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.98 / $718.39 / $906.31	Professional		$588.98	$718.39	$906.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,030.94 / $1,030.94 / $1,030.94	Professional		$1,030.94	$1,030.94	$1,030.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.26 / $1,755.26 / $2,106.31	Facility		$1,755.26	$1,755.26	$2,106.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $667.94 / $884.03 / $1,022.35	Professional		$667.94	$884.03	$1,022.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.58 / $735.58 / $735.58	Professional		$735.58	$735.58	$735.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,620.03 / $1,620.03 / $1,620.03	Facility		$1,620.03	$1,620.03	$1,620.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $483.97 / $841.58 / $1,115.00	Professional		$483.97	$841.58	$1,115.00
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,185.58 / $1,185.58 / $1,185.58	Professional		$1,185.58	$1,185.58	$1,185.58
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 $632.29 / $797.88 / $1,428.36	Professional		$632.29	$797.88	$1,428.36