Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $544.16 / $1,233.00 / $2,821.00	Facility		$544.16	$1,233.00	$2,821.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $408.12 / $490.50 / $612.24	Facility	54	$408.12	$490.50	$612.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.37 / $544.16 / $731.61	Professional		$373.37	$544.16	$731.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $679.13 / $744.96 / $1,000.89	Professional		$679.13	$744.96	$1,000.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,150.23 / $2,150.23 / $2,580.29	Facility		$2,150.23	$2,150.23	$2,580.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.47 / $706.02 / $934.44	Professional		$507.47	$706.02	$934.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,462.41 / $2,462.41 / $2,462.41	Facility		$2,462.41	$2,462.41	$2,462.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $481.77 / $694.00 / $1,133.42	Professional		$481.77	$694.00	$1,133.42
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $781.00 / $831.05 / $1,151.02	Professional		$781.00	$831.05	$1,151.02
United Facility/Professional Facility Modifier Low / Median / High Price $980.00 / $1,650.00 / $4,064.00	Facility		$980.00	$1,650.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $545.61 / $679.57 / $1,192.86	Professional		$545.61	$679.57	$1,192.86