Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.77 / $1,083.00 / $3,109.00	Facility		$923.77	$1,083.00	$3,109.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $631.15 / $758.34 / $1,137.51	Professional		$631.15	$758.34	$1,137.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,246.97 / $1,246.97 / $1,246.97	Professional		$1,246.97	$1,246.97	$1,246.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,196.23 / $2,196.23 / $2,635.48	Facility		$2,196.23	$2,196.23	$2,635.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $861.10 / $1,139.70 / $1,266.33	Professional		$861.10	$1,139.70	$1,266.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.29 / $2,090.29 / $2,090.29	Facility		$2,090.29	$2,090.29	$2,090.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.35 / $1,071.03 / $1,531.56	Professional		$784.35	$1,071.03	$1,531.56
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $1,434.02 / $1,434.02 / $1,434.02	Professional		$1,434.02	$1,434.02	$1,434.02
United Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $1,511.00 / $4,064.00	Facility		$950.00	$1,511.00	$4,064.00
United Facility/Professional Professional Modifier Low / Median / High Price $741.56 / $969.64 / $1,631.18	Professional		$741.56	$969.64	$1,631.18