Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.00 / $2,400.00 / $4,479.20	Facility		$790.00	$2,400.00	$4,479.20
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $82.24 / $144.88 / $345.85	Facility	53	$82.24	$144.88	$345.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.06 / $929.85 / $1,354.00	Professional		$308.06	$929.85	$1,354.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $469.43 / $676.64	Professional		$223.44	$469.43	$676.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,029.72 / $3,029.72 / $3,635.66	Facility		$3,029.72	$3,029.72	$3,635.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $482.31 / $1,250.19	Professional		$327.97	$482.31	$1,250.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,071.65 / $3,071.65 / $3,071.65	Facility		$3,071.65	$3,071.65	$3,071.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.34 / $640.14 / $1,934.12	Professional		$522.34	$640.14	$1,934.12
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $256.95 / $513.91 / $749.78	Professional		$256.95	$513.91	$749.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,806.00 / $5,980.25	Facility		$1,240.00	$2,806.00	$5,980.25
United Facility/Professional Professional Modifier Low / Median / High Price $883.76 / $1,463.58 / $2,077.76	Professional		$883.76	$1,463.58	$2,077.76