Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.00 / $1,688.00 / $3,109.00	Facility		$1,233.00	$1,688.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,072.66 / $1,439.88 / $1,719.57	Professional		$1,072.66	$1,439.88	$1,719.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,959.00 / $1,959.00 / $1,959.00	Professional		$1,959.00	$1,959.00	$1,959.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,248.91 / $1,561.14 / $1,652.97	Professional		$1,248.91	$1,561.14	$1,652.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.51 / $1,891.89 / $2,193.56	Professional		$1,289.51	$1,891.89	$2,193.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,252.85 / $2,252.85 / $2,252.85	Professional		$2,252.85	$2,252.85	$2,252.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $2,667.00 / $6,957.00	Facility		$1,565.00	$2,667.00	$6,957.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.17 / $1,530.17 / $2,242.36	Professional		$1,084.17	$1,530.17	$2,242.36