Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.39 / $1,688.00 / $3,804.00	Facility		$272.39	$1,688.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.65 / $1,305.00 / $1,911.21	Professional		$141.65	$1,305.00	$1,911.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,741.31 / $1,741.31 / $1,741.31	Professional		$1,741.31	$1,741.31	$1,741.31
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 $148.03 / $217.69 / $1,743.69	Professional		$148.03	$217.69	$1,743.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.58 / $337.21 / $2,793.67	Professional		$228.58	$337.21	$2,793.67
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $2,002.51 / $2,002.51 / $2,002.51	Professional		$2,002.51	$2,002.51	$2,002.51
United Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,481.00 / $3,109.69	Facility		$600.00	$1,481.00	$3,109.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,392.63 / $2,027.37 / $2,976.09	Professional		$1,392.63	$2,027.37	$2,976.09