Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $694.07 / $1,153.03 / $8,122.82	Facility		$694.07	$1,153.03	$8,122.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.17 / $2,769.13 / $9,663.70	Professional		$792.17	$2,769.13	$9,663.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $904.40 / $904.40 / $913.44	Professional		$904.40	$904.40	$913.44
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 $519.83 / $764.45 / $5,239.10	Professional		$519.83	$764.45	$5,239.10
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $997.13 / $997.13 / $997.13	Professional		$997.13	$997.13	$997.13
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 $4,384.20 / $6,417.90 / $9,333.90	Professional		$4,384.20	$6,417.90	$9,333.90