Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,041.74	Facility		$933.25	$1,412.54	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,412.54	Professional		$630.96	$870.96	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $1,258.93	Professional		$707.95	$707.95	$1,258.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $4,677.35	Facility		$3,388.44	$3,388.44	$4,677.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,071.52	Professional		$794.33	$794.33	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,174.90 / $1,412.54	Professional		$588.84	$1,174.90	$1,412.54
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,754.23 / $5,495.41	Facility		$1,230.27	$2,754.23	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $1,513.56	Professional		$676.08	$851.14	$1,513.56