Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.57 / $1,064.00 / $2,812.00	Facility		$247.57	$1,064.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.90 / $260.72 / $380.66	Professional		$176.90	$260.72	$380.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $307.88 / $461.82	Professional		$218.44	$307.88	$461.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.19 / $1,513.19 / $1,815.83	Facility		$1,513.19	$1,513.19	$1,815.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $247.66 / $291.62	Professional		$187.12	$247.66	$291.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.77 / $1,126.77 / $1,126.77	Facility		$1,126.77	$1,126.77	$1,126.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $338.80 / $429.31	Professional		$253.63	$338.80	$429.31
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $251.21 / $354.06 / $531.09	Professional		$251.21	$354.06	$531.09
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 $186.83 / $346.01 / $461.77	Professional		$186.83	$346.01	$461.77