Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,584.89 / $2,041.74	Facility		$870.96	$1,584.89	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $2,041.74	Professional		$676.08	$891.25	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,148.15	Professional		$676.08	$776.25	$1,148.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,630.78	Facility		$2,630.27	$2,630.27	$3,630.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,023.29	Professional		$776.25	$776.25	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,096.48 / $1,258.93	Professional		$549.54	$1,096.48	$1,258.93
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,318.26	Professional		$1,122.02	$1,148.15	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,137.96 / $7,079.46	Facility		$977.24	$2,137.96	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,348.96	Professional		$676.08	$851.14	$1,348.96