Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,083.00 / $1,632.00 / $4,478.00	Facility		$1,083.00	$1,632.00	$4,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,240.98 / $1,361.77 / $3,712.85	Professional		$1,240.98	$1,361.77	$3,712.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,646.71 / $1,646.71 / $1,646.71	Professional		$1,646.71	$1,646.71	$1,646.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,004.70 / $1,329.75 / $1,329.75	Professional		$1,004.70	$1,329.75	$1,329.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,235.18 / $1,787.07 / $2,355.42	Professional		$1,235.18	$1,787.07	$2,355.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,893.72 / $1,893.72 / $1,893.72	Professional		$1,893.72	$1,893.72	$1,893.72
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $1,056.00 / $2,558.00	Facility		$375.00	$1,056.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.23 / $1,322.27 / $2,042.33	Professional		$918.23	$1,322.27	$2,042.33