Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $282.10 / $1,295.00 / $3,109.00	Facility		$282.10	$1,295.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.79 / $414.78 / $1,190.51	Professional		$201.79	$414.78	$1,190.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.03 / $339.03 / $339.03	Professional		$339.03	$339.03	$339.03
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 $213.76 / $314.35 / $1,129.70	Professional		$213.76	$314.35	$1,129.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $561.00 / $930.22	Facility		$515.00	$561.00	$930.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.13 / $404.39 / $1,612.64	Professional		$240.13	$404.39	$1,612.64
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $389.88 / $389.88 / $389.88	Professional		$389.88	$389.88	$389.88
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 $841.66 / $1,125.29 / $1,769.01	Professional		$841.66	$1,125.29	$1,769.01