Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,288.25 / $2,041.74	Facility		$645.65	$1,288.25	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $436.52 / $1,047.13	Professional		$144.54	$436.52	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $194.98 / $245.47	Professional		$114.82	$194.98	$245.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $199.53 / $851.14	Professional		$147.91	$199.53	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $1,148.15	Professional		$208.93	$309.03	$1,148.15
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $263.03 / $281.84	Professional		$223.87	$263.03	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $954.99 / $3,548.13	Facility		$331.13	$954.99	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $524.81 / $1,202.26	Professional		$147.91	$524.81	$1,202.26