Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $960.00 / $1,728.00 / $3,082.40	Facility		$960.00	$1,728.00	$3,082.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,355.28 / $1,792.33 / $3,082.40	Professional		$1,355.28	$1,792.33	$3,082.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,221.11 / $1,221.11 / $1,221.11	Professional		$1,221.11	$1,221.11	$1,221.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,428.03 / $6,587.17 / $8,861.85	Facility		$5,428.03	$6,587.17	$8,861.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,518.40 / $2,102.16 / $2,454.40	Professional		$1,518.40	$2,102.16	$2,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,371.84 / $2,038.02 / $5,316.04	Professional		$1,371.84	$2,038.02	$5,316.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,404.00 / $5,085.00 / $9,102.00	Facility		$1,404.00	$5,085.00	$9,102.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.06 / $1,522.60 / $2,631.28	Professional		$1,202.06	$1,522.60	$2,631.28