Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.26 / $1,821.00 / $3,109.00	Facility		$1,080.26	$1,821.00	$3,109.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $810.20 / $810.20 / $1,238.18	Facility	54	$810.20	$810.20	$1,238.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $732.73 / $880.37 / $1,320.56	Professional		$732.73	$880.37	$1,320.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $880.66 / $880.66 / $915.61	Professional		$880.66	$880.66	$915.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,063.64 / $4,063.64 / $4,876.37	Facility		$4,063.64	$4,063.64	$4,876.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.06 / $874.94 / $972.15	Professional		$661.06	$874.94	$972.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.66 / $1,252.07 / $1,685.48	Professional		$458.66	$1,252.07	$1,685.48
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,012.76 / $1,012.76 / $1,012.76	Professional		$1,012.76	$1,012.76	$1,012.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,565.00 / $2,828.00 / $6,992.00	Facility		$1,565.00	$2,828.00	$6,992.00
United Facility/Professional Professional Modifier Low / Median / High Price $801.88 / $1,090.74 / $1,794.73	Professional		$801.88	$1,090.74	$1,794.73