Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.94 / $1,218.00 / $3,109.00	Facility		$742.94	$1,218.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $532.95 / $669.02 / $838.48	Professional		$532.95	$669.02	$838.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,172.23 / $1,172.23 / $1,172.23	Professional		$1,172.23	$1,172.23	$1,172.23
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 $610.77 / $808.37 / $1,018.22	Professional		$610.77	$808.37	$1,018.22
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 $461.30 / $770.32 / $1,070.63	Professional		$461.30	$770.32	$1,070.63
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,348.06 / $1,348.06 / $1,348.06	Professional		$1,348.06	$1,348.06	$1,348.06
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,431.00 / $3,109.69	Facility		$590.00	$1,431.00	$3,109.69
United Facility/Professional Professional Modifier Low / Median / High Price $634.60 / $826.97 / $1,242.78	Professional		$634.60	$826.97	$1,242.78