Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $938.77 / $1,201.54 / $3,109.00	Facility		$938.77	$1,201.54	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.71 / $927.90 / $1,121.79	Professional		$747.71	$927.90	$1,121.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,422.98 / $1,422.98 / $1,422.98	Professional		$1,422.98	$1,422.98	$1,422.98
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 $849.69 / $1,124.58 / $1,329.26	Professional		$849.69	$1,124.58	$1,329.26
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 $630.30 / $1,031.66 / $1,404.65	Professional		$630.30	$1,031.66	$1,404.65
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,636.43 / $1,636.43 / $1,636.43	Professional		$1,636.43	$1,636.43	$1,636.43
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,263.00 / $2,539.00	Facility		$590.00	$1,263.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $780.17 / $1,028.55 / $1,705.69	Professional		$780.17	$1,028.55	$1,705.69