Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $2,884.03	Facility		$1,698.24	$2,511.89	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,187.76 / $3,388.44	Professional		$1,949.84	$2,187.76	$3,388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $562.34	Facility		$512.86	$512.86	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,890.45	Professional		$1,995.26	$2,818.38	$3,890.45
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $758.58 / $2,570.40	Facility		$371.54	$758.58	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,981.07	Professional		$1,862.09	$2,454.71	$3,981.07