Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.65 / $1,295.00 / $3,804.00	Facility		$526.65	$1,295.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.08 / $457.21 / $626.71	Professional		$388.08	$457.21	$626.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $752.69 / $752.69 / $752.69	Professional		$752.69	$752.69	$752.69
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 $481.43 / $601.78 / $637.17	Professional		$481.43	$601.78	$637.17
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 $420.00 / $664.84 / $837.08	Professional		$420.00	$664.84	$837.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $865.59 / $865.59 / $865.59	Professional		$865.59	$865.59	$865.59
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,539.00	Facility		$590.00	$1,230.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $546.00 / $845.24	Professional		$366.30	$546.00	$845.24