Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.80 / $1,083.00 / $3,804.00	Facility		$206.80	$1,083.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.59 / $227.52 / $316.19	Professional		$146.59	$227.52	$316.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.68 / $125.68 / $125.68	Professional		$125.68	$125.68	$125.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,625.78 / $1,625.78 / $1,950.94	Facility		$1,625.78	$1,625.78	$1,950.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.35 / $235.81 / $330.73	Professional		$160.35	$235.81	$330.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,185.42 / $2,185.42 / $2,185.42	Facility		$2,185.42	$2,185.42	$2,185.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.24 / $298.45 / $431.08	Professional		$186.24	$298.45	$431.08
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $144.53 / $144.53 / $144.53	Professional		$144.53	$144.53	$144.53
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,539.00	Facility		$590.00	$1,230.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $258.04 / $468.32	Professional		$219.00	$258.04	$468.32