Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,071.52 / $2,041.74	Facility		$275.42	$1,071.52	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $741.31	Professional		$190.55	$302.00	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $562.34	Professional		$87.10	$120.23	$562.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,398.83	Facility		$1,737.80	$1,737.80	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $446.68	Professional		$218.78	$288.40	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $295.12 / $457.09	Professional		$134.90	$295.12	$457.09
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $363.08 / $645.65	Professional		$138.04	$363.08	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,288.25 / $2,511.89	Facility		$588.84	$1,288.25	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $501.19	Professional		$208.93	$316.23	$501.19