Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $883.62 / $1,445.00 / $4,478.00	Facility		$883.62	$1,445.00	$4,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $644.33 / $769.07 / $1,154.58	Professional		$644.33	$769.07	$1,154.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,046.50 / $1,046.50 / $1,046.50	Professional		$1,046.50	$1,046.50	$1,046.50
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 $775.18 / $968.97 / $1,025.97	Professional		$775.18	$968.97	$1,025.97
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 $753.89 / $1,136.95 / $1,359.89	Professional		$753.89	$1,136.95	$1,359.89
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,203.48 / $1,203.48 / $1,203.48	Professional		$1,203.48	$1,203.48	$1,203.48
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 $671.29 / $995.67 / $1,375.54	Professional		$671.29	$995.67	$1,375.54