Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.71 / $1,130.00 / $3,109.00	Facility		$516.71	$1,130.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.25 / $522.72 / $723.06	Professional		$376.25	$522.72	$723.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $450.82 / $674.05 / $676.23	Professional		$450.82	$674.05	$676.23
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 $461.45 / $621.39 / $822.43	Professional		$461.45	$621.39	$822.43
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 $441.27 / $704.13 / $999.05	Professional		$441.27	$704.13	$999.05
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $518.44 / $775.16 / $777.66	Professional		$518.44	$775.16	$777.66
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,511.00 / $4,064.00	Facility		$980.00	$1,511.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $521.48 / $675.18 / $1,099.36	Professional		$521.48	$675.18	$1,099.36