Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.51 / $1,468.80 / $4,478.00	Facility		$523.51	$1,468.80	$4,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.38 / $495.15 / $617.36	Professional		$416.38	$495.15	$617.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $473.24 / $654.66 / $759.73	Professional		$473.24	$654.66	$759.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,496.35 / $3,496.35 / $4,195.62	Facility		$3,496.35	$3,496.35	$4,195.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.97 / $606.13 / $749.62	Professional		$457.97	$606.13	$749.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,497.67 / $2,497.67 / $2,497.67	Facility		$2,497.67	$2,497.67	$2,497.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $580.41 / $791.09 / $1,014.16	Professional		$580.41	$791.09	$1,014.16
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $416.33 / $783.69 / $873.69	Professional		$416.33	$783.69	$873.69
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,233.00	Facility		$980.00	$1,650.00	$4,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.17 / $591.57 / $1,056.10	Professional		$435.17	$591.57	$1,056.10