Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $312.77 / $1,342.00 / $4,227.35	Facility		$312.77	$1,342.00	$4,227.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.21 / $367.20 / $854.09	Professional		$136.21	$367.20	$854.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.32 / $237.95 / $341.69	Professional		$175.32	$237.95	$341.69
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 $165.01 / $242.66 / $903.08	Professional		$165.01	$242.66	$903.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $330.00 / $1,171.04	Professional		$192.13	$330.00	$1,171.04
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $273.64 / $273.64	Professional		$273.64	$273.64	$273.64
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,263.00 / $2,558.00	Facility		$590.00	$1,263.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $560.60 / $786.78 / $1,395.01	Professional		$560.60	$786.78	$1,395.01