Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $1,688.00 / $3,804.00	Facility		$145.19	$1,688.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $1,278.81 / $1,806.07	Professional		$111.58	$1,278.81	$1,806.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,062.50 / $1,653.75 / $2,334.69	Professional		$1,062.50	$1,653.75	$2,334.69
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $3,502.05 / $3,502.05 / $3,502.05	Professional	50	$3,502.05	$3,502.05	$3,502.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.26 / $1,755.26 / $2,106.31	Facility		$1,755.26	$1,755.26	$2,106.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.12 / $170.76 / $1,651.90	Professional		$116.12	$170.76	$1,651.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.50 / $261.94 / $2,629.40	Professional		$179.50	$261.94	$2,629.40
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,901.81 / $1,901.81 / $2,684.91	Professional		$1,901.81	$1,901.81	$2,684.91
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $4,027.36 / $4,027.36 / $4,027.36	Professional	50	$4,027.36	$4,027.36	$4,027.36
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,230.00 / $2,558.00	Facility		$590.00	$1,230.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,337.84 / $1,872.98 / $2,692.40	Professional		$1,337.84	$1,872.98	$2,692.40