Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $372.72 / $1,218.00 / $3,804.00	Facility		$372.72	$1,218.00	$3,804.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.33 / $337.44 / $433.39	Professional		$272.33	$337.44	$433.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $405.13 / $405.13 / $405.13	Professional		$405.13	$405.13	$405.13
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 $299.50 / $396.40 / $440.44	Professional		$299.50	$396.40	$440.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.00 / $515.00 / $993.99	Facility		$490.00	$515.00	$993.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.30 / $451.27 / $634.69	Professional		$286.30	$451.27	$634.69
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $465.90 / $465.90 / $465.90	Professional		$465.90	$465.90	$465.90
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 $251.54 / $325.52 / $576.37	Professional		$251.54	$325.52	$576.37