Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $1,513.56 / $2,454.71	Facility		$144.54	$1,513.56	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $1,318.26 / $2,290.87	Professional		$114.82	$1,318.26	$2,290.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,174.90 / $2,344.23	Professional		$125.89	$1,174.90	$2,344.23
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional	50	$3,467.37	$3,467.37	$3,467.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,398.83	Facility		$1,737.80	$1,737.80	$2,398.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $1,659.59	Professional		$114.82	$154.88	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $2,630.27	Professional		$177.83	$275.42	$2,630.27
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $1,905.46 / $2,884.03	Professional		$109.65	$1,905.46	$2,884.03
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional	50	$4,073.80	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,445.44 / $5,248.07	Facility		$602.56	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $1,230.27 / $2,630.27	Professional		$112.20	$1,230.27	$2,630.27