Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $754.20 / $1,688.00 / $3,109.00	Facility		$754.20	$1,688.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.69 / $767.22 / $934.72	Professional		$519.69	$767.22	$934.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $969.90 / $969.90 / $969.90	Professional		$969.90	$969.90	$969.90
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 $626.05 / $828.61 / $920.68	Professional		$626.05	$828.61	$920.68
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,115.39 / $1,115.39 / $1,115.39	Professional		$1,115.39	$1,115.39	$1,115.39
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 $586.01 / $830.10 / $1,261.75	Professional		$586.01	$830.10	$1,261.75