Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.85 / $1,179.78 / $2,812.00	Facility		$185.85	$1,179.78	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $253.23 / $945.68	Professional		$107.68	$253.23	$945.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $153.16 / $931.53	Professional		$153.16	$153.16	$931.53
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 $106.66 / $156.85 / $916.78	Professional		$106.66	$156.85	$916.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $561.00 / $681.35	Facility		$515.00	$561.00	$681.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.28 / $380.69 / $1,051.03	Professional		$120.28	$380.69	$1,051.03
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $176.13 / $176.13 / $176.13	Professional		$176.13	$176.13	$176.13
United Facility/Professional Facility Modifier Low / Median / High Price $534.00 / $1,230.00 / $3,342.92	Facility		$534.00	$1,230.00	$3,342.92
United Facility/Professional Professional Modifier Low / Median / High Price $545.74 / $674.90 / $1,188.42	Professional		$545.74	$674.90	$1,188.42