Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.29 / $396.48 / $1,251.20	Facility		$234.29	$396.48	$1,251.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.64 / $947.45 / $1,572.11	Professional		$271.64	$947.45	$1,572.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $298.16 / $298.16 / $298.16	Professional		$298.16	$298.16	$298.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.28 / $262.17 / $787.50	Professional		$178.28	$262.17	$787.50
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $342.88 / $342.88 / $342.88	Professional		$342.88	$342.88	$342.88
United Facility/Professional Facility Modifier Low / Median / High Price $4,334.00 / $4,334.00 / $4,334.00	Facility		$4,334.00	$4,334.00	$4,334.00
United Facility/Professional Professional Modifier Low / Median / High Price $667.87 / $1,089.40 / $1,434.94	Professional		$667.87	$1,089.40	$1,434.94