Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.00 / $1,821.00 / $3,109.00	Facility		$1,233.00	$1,821.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,310.15 / $1,623.44 / $2,295.67	Professional		$1,310.15	$1,623.44	$2,295.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,339.87 / $2,339.87 / $2,339.87	Professional		$2,339.87	$2,339.87	$2,339.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,538.13 / $1,922.67 / $2,035.76	Professional		$1,538.13	$1,922.67	$2,035.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,565.00 / $2,185.19 / $2,699.71	Professional		$1,565.00	$2,185.19	$2,699.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,690.85 / $2,690.85 / $2,690.85	Professional		$2,690.85	$2,690.85	$2,690.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,104.00 / $4,334.00 / $8,676.00	Facility		$2,104.00	$4,334.00	$8,676.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,331.27 / $1,870.20 / $2,750.42	Professional		$1,331.27	$1,870.20	$2,750.42