Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.83 / $1,048.63 / $6,223.52	Facility		$630.83	$1,048.63	$6,223.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $721.06 / $2,522.96 / $8,252.14	Professional		$721.06	$2,522.96	$8,252.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $394.28 / $412.89 / $825.77	Professional		$394.28	$412.89	$825.77
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $1,165.80 / $1,165.80 / $1,165.80	Professional	50	$1,165.80	$1,165.80	$1,165.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,796.13 / $10,796.13 / $12,955.36	Facility		$10,796.13	$10,796.13	$12,955.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $473.50 / $696.33 / $3,905.79	Professional		$473.50	$696.33	$3,905.79
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $453.42 / $474.82 / $949.64	Professional		$453.42	$474.82	$949.64
Qualchoice Facility/Professional Professional Modifier 50 Low / Median / High Price $1,340.67 / $1,340.67 / $1,340.67	Professional	50	$1,340.67	$1,340.67	$1,340.67
United Facility/Professional Facility Modifier Low / Median / High Price $8,986.00 / $8,986.00 / $8,986.00	Facility		$8,986.00	$8,986.00	$8,986.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,470.62 / $5,550.10 / $7,456.73	Professional		$3,470.62	$5,550.10	$7,456.73