Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.65 / $803.00 / $2,812.00	Facility		$174.65	$803.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.43 / $243.52 / $440.67	Professional		$126.43	$243.52	$440.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $171.53 / $222.11	Professional		$148.07	$171.53	$222.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,101.34 / $1,101.34 / $1,255.54	Facility		$1,101.34	$1,101.34	$1,255.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $186.71 / $415.31	Professional		$126.96	$186.71	$415.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $366.00 / $515.00 / $681.35	Facility		$366.00	$515.00	$681.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.81 / $267.22 / $483.98	Professional		$148.81	$267.22	$483.98
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $170.28 / $217.22 / $255.43	Professional		$170.28	$217.22	$255.43
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 $253.38 / $386.16 / $553.12	Professional		$253.38	$386.16	$553.12