Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $530.04 / $1,277.00 / $3,804.00	Facility		$530.04	$1,277.00	$3,804.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $260.18 / $265.02 / $304.80	Facility	52	$260.18	$265.02	$304.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.56 / $444.68 / $630.33	Professional		$376.56	$444.68	$630.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $343.34 / $607.79 / $686.68	Professional		$343.34	$607.79	$686.68
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 $451.08 / $563.86 / $597.02	Professional		$451.08	$563.86	$597.02
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 $464.16 / $664.60 / $789.27	Professional		$464.16	$664.60	$789.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $526.46 / $698.97 / $789.68	Professional		$526.46	$698.97	$789.68
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 $401.79 / $570.82 / $860.66	Professional		$401.79	$570.82	$860.66