Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $543.83 / $1,277.00 / $3,804.00	Facility		$543.83	$1,277.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.96 / $543.83 / $635.04	Professional		$442.96	$543.83	$635.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Professional		$722.52	$722.52	$722.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,027.36 / $3,027.36 / $3,632.83	Facility		$3,027.36	$3,027.36	$3,632.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.16 / $677.71 / $717.58	Professional		$542.16	$677.71	$717.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,856.35 / $1,856.35 / $1,856.35	Facility		$1,856.35	$1,856.35	$1,856.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $703.04 / $913.50	Professional		$369.00	$703.04	$913.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $830.90 / $830.90 / $830.90	Professional		$830.90	$830.90	$830.90
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 $403.34 / $581.91 / $953.73	Professional		$403.34	$581.91	$953.73