Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $1,397.00 / $5,778.00	Facility		$790.00	$1,397.00	$5,778.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.28 / $774.14 / $1,250.82	Professional		$534.28	$774.14	$1,250.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $870.34 / $870.34 / $1,350.00	Professional		$870.34	$870.34	$1,350.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,727.30 / $6,727.30 / $8,072.76	Facility		$6,727.30	$6,727.30	$8,072.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.58 / $950.85 / $1,423.78	Professional		$646.58	$950.85	$1,423.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,184.05 / $3,184.05 / $3,184.05	Facility		$3,184.05	$3,184.05	$3,184.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $746.94 / $1,048.75 / $1,770.29	Professional		$746.94	$1,048.75	$1,770.29
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,000.89 / $1,000.89 / $1,552.50	Professional		$1,000.89	$1,000.89	$1,552.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,268.00 / $5,626.00	Facility		$1,240.00	$2,268.00	$5,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $805.84 / $1,092.79 / $1,905.49	Professional		$805.84	$1,092.79	$1,905.49