Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.75 / $1,313.00 / $2,812.00	Facility		$263.75	$1,313.00	$2,812.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $964.25 / $1,313.76	Professional		$140.61	$964.25	$1,313.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.41 / $160.41 / $160.41	Professional		$160.41	$160.41	$160.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,555.03 / $3,555.03 / $4,266.04	Facility		$3,555.03	$3,555.03	$4,266.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.05 / $1,199.86 / $1,588.06	Professional		$125.05	$1,199.86	$1,588.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.71 / $502.71 / $2,031.53	Professional		$159.71	$502.71	$2,031.53
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $184.47 / $184.47 / $184.47	Professional		$184.47	$184.47	$184.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,240.00 / $2,311.00 / $5,626.00	Facility		$1,240.00	$2,311.00	$5,626.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.00 / $1,329.54 / $2,158.73	Professional		$1,024.00	$1,329.54	$2,158.73