Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,621.81 / $3,090.30	Facility		$331.13	$1,621.81	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $630.96 / $1,047.13	Professional		$154.88	$630.96	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $288.40 / $1,096.48	Professional		$151.36	$288.40	$1,096.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $1,000.00	Professional		$181.97	$239.88	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $426.58 / $1,659.59	Professional		$213.80	$426.58	$1,659.59
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $1,258.93	Professional		$346.74	$346.74	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,445.44 / $4,677.35	Facility		$602.56	$1,445.44	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $741.31 / $1,412.54	Professional		$173.78	$741.31	$1,412.54