Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.50 / $1,295.00 / $3,109.00	Facility		$433.50	$1,295.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.12 / $451.69 / $1,176.79	Professional		$247.12	$451.69	$1,176.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,159.17 / $1,159.17 / $1,159.17	Professional		$1,159.17	$1,159.17	$1,159.17
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 $246.94 / $363.14 / $1,128.90	Professional		$246.94	$363.14	$1,128.90
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 $276.94 / $570.05 / $1,329.73	Professional		$276.94	$570.05	$1,329.73
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,333.05 / $1,333.05 / $1,333.05	Professional		$1,333.05	$1,333.05	$1,333.05
United Facility/Professional Facility Modifier Low / Median / High Price $505.00 / $1,106.00 / $2,558.00	Facility		$505.00	$1,106.00	$2,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $671.94 / $888.05 / $1,506.42	Professional		$671.94	$888.05	$1,506.42