Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,041.74	Facility		$933.25	$1,230.27	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $870.96 / $1,548.82	Professional		$691.83	$870.96	$1,548.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $1,348.96	Professional		$616.60	$616.60	$1,348.96
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 $794.33 / $933.25 / $1,230.27	Professional		$794.33	$933.25	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $933.25 / $1,318.26	Professional		$524.81	$933.25	$1,318.26
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $4,365.16	Facility		$588.84	$1,445.44	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,479.11	Professional		$707.95	$912.01	$1,479.11