Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.48 / $1,688.00 / $4,733.60	Facility		$502.48	$1,688.00	$4,733.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.73 / $436.80 / $669.09	Professional		$366.73	$436.80	$669.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $695.42 / $695.42 / $695.42	Professional		$695.42	$695.42	$695.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.10 / $1,525.10 / $1,830.12	Facility		$1,525.10	$1,525.10	$1,830.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $443.79 / $554.74 / $587.37	Professional		$443.79	$554.74	$587.37
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 $429.35 / $644.54 / $775.41	Professional		$429.35	$644.54	$775.41
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $799.73 / $799.73 / $799.73	Professional		$799.73	$799.73	$799.73
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 $381.49 / $518.95 / $782.33	Professional		$381.49	$518.95	$782.33