Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.84 / $1,218.00 / $3,804.00	Facility		$255.84	$1,218.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.51 / $185.79 / $305.79	Professional		$135.51	$185.79	$305.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $171.26 / $171.26 / $171.26	Professional		$171.26	$171.26	$171.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,627.26 / $2,627.26 / $3,152.71	Facility		$2,627.26	$2,627.26	$3,152.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.91 / $187.40 / $198.42	Professional		$149.91	$187.40	$198.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,360.08 / $2,360.08 / $2,360.08	Facility		$2,360.08	$2,360.08	$2,360.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $258.48 / $358.56	Professional		$180.00	$258.48	$358.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $196.95 / $196.95 / $196.95	Professional		$196.95	$196.95	$196.95
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $227.91 / $335.51	Professional		$136.75	$227.91	$335.51