Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.54 / $1,083.00 / $3,109.00	Facility		$301.54	$1,083.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.33 / $340.73 / $496.51	Professional		$216.33	$340.73	$496.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.03 / $352.05 / $526.00	Professional		$176.03	$352.05	$526.00
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 $261.31 / $384.28 / $528.79	Professional		$261.31	$384.28	$528.79
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 $267.20 / $429.84 / $651.67	Professional		$267.20	$429.84	$651.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $202.43 / $404.86 / $708.12	Professional		$202.43	$404.86	$708.12
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 $348.61 / $443.99 / $701.46	Professional		$348.61	$443.99	$701.46