Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.73 / $1,295.00 / $3,180.22	Facility		$402.73	$1,295.00	$3,180.22
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $148.41 / $222.62 / $776.99	Facility	52	$148.41	$222.62	$776.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.19 / $702.93 / $1,477.19	Professional		$210.19	$702.93	$1,477.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.30 / $317.04 / $356.49	Professional		$235.30	$317.04	$356.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,390.44 / $3,390.44 / $4,068.53	Facility		$3,390.44	$3,390.44	$4,068.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.59 / $324.39 / $1,613.08	Professional		$220.59	$324.39	$1,613.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.69 / $426.29 / $1,845.74	Professional		$293.69	$426.29	$1,845.74
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $270.60 / $364.60 / $423.11	Professional		$270.60	$364.60	$423.11
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,825.00 / $4,233.00	Facility		$980.00	$1,825.00	$4,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $892.76 / $1,128.16 / $2,156.14	Professional		$892.76	$1,128.16	$2,156.14