Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.00 / $1,688.00 / $9,034.00	Facility		$1,277.00	$1,688.00	$9,034.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.33 / $1,501.67 / $1,797.70	Professional		$1,138.33	$1,501.67	$1,797.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,009.82 / $2,009.82 / $2,009.82	Professional		$2,009.82	$2,009.82	$2,009.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,339.33 / $1,674.16 / $1,772.64	Professional		$1,339.33	$1,674.16	$1,772.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,370.51 / $1,882.87 / $2,349.35	Professional		$1,370.51	$1,882.87	$2,349.35
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,311.29 / $2,311.29 / $2,311.29	Professional		$2,311.29	$2,311.29	$2,311.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,311.00 / $5,626.00	Facility		$1,240.00	$2,311.00	$5,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,155.13 / $1,617.18 / $2,386.60	Professional		$1,155.13	$1,617.18	$2,386.60