Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.00 / $1,688.00 / $4,478.00	Facility		$747.00	$1,688.00	$4,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.58 / $465.02 / $706.81	Professional		$389.58	$465.02	$706.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $738.45 / $738.45 / $738.45	Professional		$738.45	$738.45	$738.45
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 $471.44 / $589.30 / $623.97	Professional		$471.44	$589.30	$623.97
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 $455.99 / $685.05 / $825.57	Professional		$455.99	$685.05	$825.57
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $849.22 / $849.22 / $849.22	Professional		$849.22	$849.22	$849.22
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 $404.88 / $559.40 / $884.26	Professional		$404.88	$559.40	$884.26