Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $353.24 / $1,130.00 / $3,109.00	Facility		$353.24	$1,130.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.82 / $405.82 / $596.91	Professional		$256.82	$405.82	$596.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $457.97 / $647.59 / $647.59	Professional		$457.97	$647.59	$647.59
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 $317.52 / $466.95 / $647.91	Professional		$317.52	$466.95	$647.91
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 $355.01 / $500.66 / $783.33	Professional		$355.01	$500.66	$783.33
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $744.73 / $744.73 / $744.73	Professional		$744.73	$744.73	$744.73
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $419.48 / $534.40 / $849.96	Professional		$419.48	$534.40	$849.96