Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.85 / $1,442.77 / $3,109.00	Facility		$961.85	$1,442.77	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.78 / $948.80 / $1,165.22	Professional		$767.78	$948.80	$1,165.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,338.26 / $1,338.26 / $1,527.26	Professional		$1,338.26	$1,338.26	$1,527.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,308.46 / $3,308.46 / $3,970.15	Facility		$3,308.46	$3,308.46	$3,970.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $867.05 / $1,147.56 / $1,429.79	Professional		$867.05	$1,147.56	$1,429.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,025.35 / $1,025.35 / $1,025.35	Professional		$1,025.35	$1,025.35	$1,025.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,414.94 / $2,414.94 / $2,414.94	Facility		$2,414.94	$2,414.94	$2,414.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $573.65 / $1,084.17 / $1,514.83	Professional		$573.65	$1,084.17	$1,514.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,539.00 / $1,539.00 / $1,756.35	Professional		$1,539.00	$1,539.00	$1,756.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,931.00 / $10,379.50	Facility		$1,240.00	$2,931.00	$10,379.50
United Facility/Professional Professional Modifier Low / Median / High Price $968.95 / $1,120.95 / $1,955.80	Professional		$968.95	$1,120.95	$1,955.80