Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,000.00 / $2,041.74	Facility		$204.17	$1,000.00	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $707.95	Professional		$114.82	$229.09	$707.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Facility		$1,096.48	$1,096.48	$1,513.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $676.08	Professional		$123.03	$165.96	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $512.86 / $933.25	Facility		$363.08	$512.86	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $831.76	Professional		$131.83	$234.42	$831.76
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $3,388.44	Facility		$537.03	$1,288.25	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $229.09 / $758.58	Professional		$114.82	$229.09	$758.58