Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.30 / $1,397.00 / $4,478.00	Facility		$515.30	$1,397.00	$4,478.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.05 / $472.82 / $566.84	Professional		$357.05	$472.82	$566.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $622.41 / $622.41 / $622.41	Professional		$622.41	$622.41	$622.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,875.60 / $2,875.60 / $3,450.72	Facility		$2,875.60	$2,875.60	$3,450.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.17 / $565.37 / $565.37	Professional		$427.17	$565.37	$565.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,022.76 / $2,022.76 / $2,022.76	Facility		$2,022.76	$2,022.76	$2,022.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.97 / $711.87 / $747.71	Professional		$486.97	$711.87	$747.71
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $715.77 / $715.77 / $715.77	Professional		$715.77	$715.77	$715.77
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,233.00	Facility		$980.00	$1,650.00	$4,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.56 / $460.19 / $829.32	Professional		$384.56	$460.19	$829.32