Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $255.11 / $1,074.00 / $3,109.00	Facility		$255.11	$1,074.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $232.24 / $334.77	Professional		$186.28	$232.24	$334.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $162.41 / $339.07	Professional		$162.41	$162.41	$339.07
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 $225.74 / $298.77 / $333.91	Professional		$225.74	$298.77	$333.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,204.26 / $2,204.26 / $2,204.26	Facility		$2,204.26	$2,204.26	$2,204.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $347.11 / $409.55	Professional		$210.00	$347.11	$409.55
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $194.97 / $281.14 / $396.91	Professional		$194.97	$281.14	$396.91
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $2,052.00 / $4,064.00	Facility		$980.00	$2,052.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $312.06 / $446.92	Professional		$213.80	$312.06	$446.92