Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.93 / $1,230.00 / $5,965.02	Facility		$395.93	$1,230.00	$5,965.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $291.43 / $503.26 / $772.52	Professional		$291.43	$503.26	$772.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $437.75 / $492.61 / $896.70	Professional		$437.75	$492.61	$896.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.96 / $1,458.96 / $1,750.75	Facility		$1,458.96	$1,458.96	$1,750.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.03 / $500.04 / $854.72	Professional		$340.03	$500.04	$854.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,719.70 / $1,719.70 / $1,719.70	Facility		$1,719.70	$1,719.70	$1,719.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.19 / $539.58 / $951.35	Professional		$394.19	$539.58	$951.35
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $503.41 / $601.91 / $607.91	Professional		$503.41	$601.91	$607.91
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,427.00 / $3,040.78	Facility		$590.00	$1,427.00	$3,040.78
United Facility/Professional Professional Modifier Low / Median / High Price $501.25 / $749.71 / $1,110.88	Professional		$501.25	$749.71	$1,110.88