Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.65 / $1,223.00 / $2,639.00	Facility		$461.65	$1,223.00	$2,639.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.93 / $461.65 / $931.17	Professional		$257.93	$461.65	$931.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.63 / $263.27 / $355.41	Professional		$131.63	$263.27	$355.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,763.30 / $2,139.85 / $2,878.78	Facility		$1,763.30	$2,139.85	$2,878.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.75 / $560.50 / $790.60	Professional		$346.75	$560.50	$790.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $531.41 / $1,143.30	Professional		$282.13	$531.41	$1,143.30
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $1,768.00 / $3,360.00	Facility		$625.00	$1,768.00	$3,360.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.79 / $524.26 / $987.36	Professional		$422.79	$524.26	$987.36