Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.08 / $1,295.00 / $3,109.00	Facility		$213.08	$1,295.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $185.76 / $243.78	Professional		$150.44	$185.76	$243.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $226.21 / $226.21 / $226.21	Professional		$226.21	$226.21	$226.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.26 / $1,771.26 / $2,019.24	Facility		$1,771.26	$1,771.26	$2,019.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $221.95 / $246.61	Professional		$167.69	$221.95	$246.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $546.00 / $993.99	Facility		$490.00	$546.00	$993.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.61 / $255.55 / $321.83	Professional		$163.61	$255.55	$321.83
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $260.14 / $260.14 / $260.14	Professional		$260.14	$260.14	$260.14
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,539.00	Facility		$505.00	$1,106.00	$2,539.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.44 / $205.35 / $323.97	Professional		$148.44	$205.35	$323.97